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Dr. Gregory Joseph Petersen, DC
Chiropractor in Maple Grove, Minnesota
NPI 1851631907

Gregory Joseph Petersen is a Chiropractor based in Maple Grove, MN. Gregory Joseph Petersen practices in Maple Grove, MN and has the professional credentials of DC. The NPI Number for Gregory Joseph Petersen is 1851631907 and holds a License No. 5767 (Minnesota).

The current practice location address for Gregory Joseph Petersen is 9505 Blackoaks Ln N, Maple Grove, MN and can be reached out via phone at 763-420-4111 and via fax at 763-420-4145.

Location: 9505 Blackoaks Ln N, Maple Grove, MN, 55311-1229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851631907
Provider Name
Gregory Joseph Petersen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
9505 Blackoaks Ln N, Maple Grove, MN, 55311-1229
Phone Number
763-420-4111
Fax Number
763-420-4145
Provider Enumeration Date
02/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9505 Blackoaks Ln N
City
Maple Grove
State
Minnesota
Zip
55311-1229
Phone Number
763-420-4111
Fax Number
763-420-4145
person
Provider Business Mailing Address Details
Address
9505 Blackoaks Ln N
City
Maple Grove
State
Minnesota
Zip
55311-1229
Phone Number
763-420-4111
Fax Number
763-420-4145
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5767 (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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