Anicia Gwen Peterson, D.C.
Chiropractor · Crosslake, MN
Practice location
13743 E Shore RdCrosslake, MN 56442-4033
- Phone
- (218) 692-1616
- Fax
- (218) 692-1626
NPI record
- NPI
- 1003973702
- Entity type
- Individual (Type 1)
- Enumeration date
- January 2, 2007
- Last updated
- July 9, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
3138 | MN |
About Dr. Peterson
Anicia Gwen Peterson, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 13743 E Shore Rd, Crosslake, MN 56442-4033. The NPI number 1003973702 was assigned on January 2, 2007 and the record was last updated on July 9, 2007.
Dr. Peterson lists a license in the registry: #3138 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Anicia Gwen Peterson, D.C.?
The NPI number is 1003973702.
What is the phone number of Dr. Peterson?
The phone number listed for the practice location is (218) 692-1616.
Where is Dr. Peterson located?
13743 E Shore Rd, Crosslake, MN 56442-4033.
What is the taxonomy code for Dr. Peterson?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Chiropractor providers in Crosslake
- Wellnessone of Crosslake35272 County Road 3
- Northwoods Chiropractic P. a.13743 E Shore Rd