Search › Minnesota › 111NN1001X
Kevin Petersen, D.C
NPI 1851414346 · on the registry since 2007
Practice
- Address
- 29 Lake St S
Big Lake, MN 55309 - Phone
- (763) 263-3470
- Fax
- (763) 263-5900
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111NN1001X
111NN1001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-29
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