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Michelle Petersen
NPI 1871481705 · on the registry since 2025 · sole proprietor
Practice
- Address
- 813 Chestnut Ave
Dixon, IL 61021 - Phone
- (815) 719-2625
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Sex
- Male
- Record last updated
- 2025-06-27
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 Illinois