Individual provider · Type 1 NPI

Gregory Joseph Petersen, DC

Chiropractor · Maple Grove, MN

NPI number 1851631907 Active

Practice location

9505 Blackoaks Ln N
Maple Grove, MN 55311-1229

Call (763) 420-4111 Map

Fax (763) 420-4145

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 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 1851631907

Gregory Joseph Petersen, DC's National Provider Identifier is 1851631907, issued on Feb 27, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Maple Grove, MN. The record was last updated on Feb 27, 2013.