JERRY PETERSEN, MD

Family Medicine

Active Individual
NPI: 1467451344

Practice Address

4695 SHORELINE DR
Spring Park, MN 55384

Phone: (952) 442-7890

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 20372 (MN)

Frequently Asked Questions

NPI 1467451344 is the National Provider Identifier for JERRY PETERSEN, MD, a Family Medicine provider located in Spring Park, MN. This NPI was enumerated on July 21, 2005.
JERRY PETERSEN, MD practices at 4695 SHORELINE DR, Spring Park, MN 55384.

Quick Facts

NPI
1467451344
Type
Individual
Enumerated
Jul 21, 2005
Last Updated
May 12, 2008

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