Individual provider · Type 1 NPI

Jon B. Peterson, DC

Chiropractor · St. Cloud, MN

NPI number 1265593560 Active

Practice location

2611 Clearwater Rd
St. Cloud, MN 56301-5953

Call (320) 656-0200 Map

Fax (320) 656-0204

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4221 (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 1265593560

Jon B. Peterson, DC's National Provider Identifier is 1265593560, issued on Dec 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 8, 2007.