TAMMY PETERSON, OD
Optometrist
Active
Individual
NPI: 1366404386
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | No | 1961-035 (WI) |
Frequently Asked Questions
NPI 1366404386 is the National Provider Identifier for TAMMY PETERSON, OD, a Optometrist provider located in Coon Rapids, MN. This NPI was enumerated on April 5, 2006.
TAMMY PETERSON, OD practices at 9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433.
Quick Facts
- NPI
- 1366404386
- Type
- Individual
- Enumerated
- Apr 5, 2006
- Last Updated
- Oct 19, 2011
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