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Katie Peterson
Medical Physician Assistant in Maple Grove, Minnesota
NPI 1477886323

Katie Peterson is a Medical Physician Assistant based in Maple Grove, MN and is specialized in Medical. Katie Peterson practices in Maple Grove, MN. The NPI Number for Katie Peterson is 1477886323 and holds a License No. (Minnesota).

The current practice location address for Katie Peterson is 17521 93Rd Pl N, Maple Grove, MN and can be reached out via phone at 763-577-7179.

Location: 17521 93Rd Pl N, Maple Grove, MN, 55311-4437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477886323
Provider Name
Katie Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
17521 93Rd Pl N, Maple Grove, MN, 55311-4437
Phone Number
763-577-7179
Fax Number
Provider Enumeration Date
09/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17521 93Rd Pl N
City
Maple Grove
State
Minnesota
Zip
55311-4437
Phone Number
763-577-7179
Fax Number
person
Provider Business Mailing Address Details
Address
17521 93Rd Pl N
City
Maple Grove
State
Minnesota
Zip
55311-4437
Phone Number
763-577-7179
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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