Gregory Joseph Petersen, D.C.

Chiropractor · Maple Grove, MN

Individual Active NPI

NPI number 1851631907

Practice location

9505 Blackoaks Ln N
Maple Grove, MN 55311-1229
Phone
(763) 420-4111
Fax
(763) 420-4145

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NPI record

NPI
1851631907
Entity type
Individual (Type 1)
Enumeration date
February 27, 2013
Last updated
February 27, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 5767 MN

About Dr. Petersen

Gregory Joseph Petersen, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 9505 Blackoaks Ln N, Maple Grove, MN 55311-1229. The NPI number 1851631907 was assigned on February 27, 2013 and the record was last updated on February 27, 2013.

Dr. Petersen lists a license in the registry: #5767 (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 Gregory Joseph Petersen, D.C.?

The NPI number is 1851631907.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (763) 420-4111.

Where is Dr. Petersen located?

9505 Blackoaks Ln N, Maple Grove, MN 55311-1229.

What is the taxonomy code for Dr. Petersen?

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.

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