Search › Minnesota › 152W00000X
Jay Petersen, O.D
NPI 1801999388 · on the registry since 2006
Practice
- Address
- N-236 North Garden
Mall Of America
Bloomington, MN 55425 - Phone
- (952) 854-4500
- Fax
- (952) 858-8525
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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