Chad Jeremy Petterson DC

NPI 1003986886 - Chiropractor - 111N00000X

NPI Details
NPI 1003986886
Gender Male
Enumeration Date 11/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
825 BAHLS DRIVE
HASTINGS MN, 55033, US
Phone (651) 480-1128
Fax (651) 438-3929
Business Location
825 BAHLS DRIVE
HASTINGS MN, 55033, US
Phone (651) 480-1128
Fax (651) 438-3929
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 3748
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According to our database, Chad Jeremy Petterson DC NPI is 1003986886, taxonomy code is 111N00000X and license number is 3748, license state is located at Minnesota. Chad Jeremy Petterson DC physically located at 825 Bahls Drive, Hastings MN, 55033. NPI Number Chad Jeremy Petterson DC has the Individual type.

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1003986886 NPI number is provided on an as is basis without warranty of any kind. 1003986886 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Jeremy Petterson DC are for informational purposes only.