Garrett Joel Peterson CRNA

NPI 1033125133 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1033125133
Gender Male
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 VETERANS DR
MINNEAPOLIS MN, 55417-2309, US
Phone (612) 467-5368
Fax
Business Location
5916 OAKLAND AVE
MINNEAPOLIS MN, 55417-3116, US
Phone (612) 861-4415
Fax
Toxanomy
Taxonomy Code 367500000X
License State Minnesota
License Number R 132642-4
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According to our database, Garrett Joel Peterson CRNA NPI is 1033125133, taxonomy code is 367500000X and license number is R 132642-4, license state is located at Minnesota. Garrett Joel Peterson CRNA physically located at 1 Veterans Dr, Minneapolis MN, 55417-2309. NPI Number Garrett Joel Peterson CRNA has the Individual type.

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1033125133 NPI number is provided on an as is basis without warranty of any kind. 1033125133 is maintained by the National Plan & Provider Enumeration System. The contents of Garrett Joel Peterson CRNA are for informational purposes only.