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Gregory J. Peterson, DC
Chiropractor in Ortonville, Minnesota
NPI 1548359243

Gregory J. Peterson is a Chiropractor based in Ortonville, MN. Gregory J. Peterson practices in Ortonville, MN and has the professional credentials of DC. The NPI Number for Gregory J. Peterson is 1548359243 and holds a License No. 1992 (Minnesota).

The current practice location address for Gregory J. Peterson is 215 2Nd St Se, Ortonville, MN and can be reached out via phone at 320-839-2323 and via fax at 320-839-2323.

Location: 215 2Nd St Se, Ortonville, MN, 56278-1537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548359243
Provider Name
Gregory J. Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
215 2Nd St Se, Ortonville, MN, 56278-1537
Phone Number
320-839-2323
Fax Number
320-839-2323
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1B090PE 01 MN BCBS INDIVIDUAL PROVIDER
230676 01 MN ACN PROVIDER NUMBER
7602140 01 MN SD MEDICAL ASSISTANCE
595727300 05 MN
030701023 01 MN PRIME WEST MED ASSISTANCE
350048036 01 MN RR MEDICARE
391886617 01 MN TRIAD
20341 01 MN SIOUX VALLEY HEALTH PLAN
49317PE 01 MN BCBS CLINIC/GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
215 2Nd St Se
City
Ortonville
State
Minnesota
Zip
56278-1537
Phone Number
320-839-2323
Fax Number
320-839-2323
person
Provider Business Mailing Address Details
Address
215 2Nd St Se
City
Ortonville
State
Minnesota
Zip
56278-1537
Phone Number
320-839-2323
Fax Number
320-839-2323
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1992 (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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