Search › Minnesota › 172A00000X
Shane Peterson
NPI 1972181246 · on the registry since 2021 · sole proprietor
Practice
- Address
- 325 Watkins St
Mora, MN 55051 - Phone
- (320) 438-4493
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Male
- Record last updated
- 2021-03-30
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