Kimberly Petersen

NPI 1043247877 - Specialist - 174400000X

NPI Details
NPI 1043247877
Gender Female
Enumeration Date 06/27/2006
Last Updated 07/29/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5 W LAKE ST
MINNEAPOLIS MN, 55408-3117, US
Phone (612) 545-9000
Fax
Business Location
701 PARK AVE
MINNEAPOLIS MN, 55415-1623, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Minnesota
License Number 35969
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According to our database, Kimberly Petersen NPI is 1043247877, taxonomy code is 174400000X and license number is 35969, license state is located at Minnesota. Kimberly Petersen physically located at 5 W Lake St, Minneapolis MN, 55408-3117. NPI Number Kimberly Petersen has the Individual type.

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1043247877 NPI number is provided on an as is basis without warranty of any kind. 1043247877 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Petersen are for informational purposes only.