Individual provider · Type 1 NPI

Bruce Allen Peterson, DC

Chiropractor · Maplewood, MN

NPI number 1467557645 Active

Practice location

2599 White Bear Ave N
Maplewood, MN 55109-5171

Fax (651) 779-9319

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2446 (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 1467557645

Bruce Allen Peterson, DC's National Provider Identifier is 1467557645, issued on Sep 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Maplewood, MN. The record was last updated on Jul 8, 2007.