KATIE PETERSON

Physician Assistant - Medical

Active Individual
NPI: 1477886323

Practice Address

17521 93RD PL N
Maple Grove, MN 55311

Phone: (763) 577-7179

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes -

Frequently Asked Questions

NPI 1477886323 is the National Provider Identifier for KATIE PETERSON, a Physician Assistant - Medical provider located in Maple Grove, MN. This NPI was enumerated on September 10, 2009.
KATIE PETERSON practices at 17521 93RD PL N, Maple Grove, MN 55311.

Quick Facts

NPI
1477886323
Type
Individual
Enumerated
Sep 10, 2009
Last Updated
Sep 10, 2009

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