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Michael Petersen, DVM
NPI 1740602960 · on the registry since 2014
Practice
- Address
- 5754 Nicollet Ave
Minneapolis, MN 55419 - Phone
- (612) 866-7103
- Fax
- (612) 866-0250
Registry record
- Primary taxonomy
- 174M00000X
174M00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota