Search › Minnesota › 207R00000X
Dale Petersen
NPI 1841274255 · on the registry since 2005
Practice
- Address
- 2001 Blaisdell Ave
Park Nicollet Clinic Minneapolis
Minneapolis, MN 55404 - Phone
- (952) 993-8000
- Organisation at this address
- Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 66
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-20
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