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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1764 (MN) |
| Chiropractor | 111N00000X | 5767 (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.