Organization · Type 2 NPI

Petersen Chiropractic Inc.

Chiropractor · Maple Grove, MN

NPI number 1144634395 Active

Practice location

9505 Blackoaks Ln No.
Maple Grove, MN 55311

Fax (763) 420-4145

Mailing address

9505 Blackoaks Ln No
Maple Grove, MN 55311

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1764 (MN)
Chiropractor 111N00000X5767 (MN)

Chiropractor: 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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About NPI 1144634395

Petersen Chiropractic Inc.'s National Provider Identifier is 1144634395, issued on Jun 16, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Maple Grove, MN. The record was last updated on Mar 19, 2015.