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Dr. Bruce Allen Peterson, DC
Chiropractor in Maplewood, Minnesota
NPI 1467557645

Bruce Allen Peterson is a Chiropractor based in Maplewood, MN. Bruce Allen Peterson practices in Maplewood, MN and has the professional credentials of DC. The NPI Number for Bruce Allen Peterson is 1467557645 and holds a License No. 2446 (Minnesota).

The current practice location address for Bruce Allen Peterson is 2599 White Bear Ave N, Maplewood, MN and can be reached out via phone at 651-779-8115 and via fax at 651-779-9319.

Location: 2599 White Bear Ave N, Maplewood, MN, 55109-5171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467557645
Provider Name
Bruce Allen Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2599 White Bear Ave N, Maplewood, MN, 55109-5171
Phone Number
651-779-8115
Fax Number
651-779-9319
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59434PE 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
2599 White Bear Ave N
City
Maplewood
State
Minnesota
Zip
55109-5171
Phone Number
651-779-8115
Fax Number
651-779-9319
person
Provider Business Mailing Address Details
Address
2599 White Bear Ave N
City
Maplewood
State
Minnesota
Zip
55109-5171
Phone Number
651-779-8115
Fax Number
651-779-9319
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2446 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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