Organization · Type 2 NPI

John R. Petersen D.c. P.a.

Chiropractor · St. Paul, MN

NPI number 1194922179 Active

Practice location

2216 County Road D W
St. Paul, MN 55112-7500

Call (651) 639-1066 Map

Fax (651) 630-1069

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4232 (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.

3 other providers at this address

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About NPI 1194922179

John R. Petersen D.c. P.a.'s National Provider Identifier is 1194922179, issued on Jul 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 3, 2008.