John W Petersen (NPI# 1720110737, PAC ID# 1456411388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1720110737 |
| PAC ID by PECOS | 1456411388 |
| Professional Enrollment ID | I20081121000123 |
| Full Name | John W Petersen |
| Organization Legal Name | PETERSEN CHIROPRACTIC INC |
| Address |
9505 Blackoaks N Ln Maple Grove MN 55311-1229 |
| Phone Number | 7634204111 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1981 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 4284951880 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9505 Blackoaks N Ln, Maple Grove, MN 55311-1229 | 7634204111 | PETERSEN CHIROPRACTIC INC |
| Organization Legal Name | PETERSEN CHIROPRACTIC INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Petersen | Chiropractic | Petersen Chiropractic Inc | 9505 Blackoaks N Ln, Maple Grove, MN 55311-1229 |
| Street Address |
9505 BLACKOAKS N LN |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55311-1229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Petersen | Chiropractic | Petersen Chiropractic Inc | 9505 Blackoaks N Ln, Maple Grove, MN 55311-1229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin K Kuehl | Physical Therapy | Novacare Outpatient Rehabilitation East Inc | 16366 County Rd, Suite 30, Maple Grove, MN 55311-1207 |
| James K Nord | Chiropractic | 16334 County Rd, Suite 30, Maple Grove, MN 55311-1207 | |
| Galen J Wetzell | Physical Therapy | Novacare Outpatient Rehabilitation East Inc | 16366 County Rd, Suite 30, Maple Grove, MN 55311-1207 |
| Makenzie Lynn Steenerson | Chiropractic | 13786 Reimer Dr N, Maple Grove, MN 55311-2205 | |
| Marcia M Rogers | Psychologist, Clinical | 7026 E Fish Lake Rd, Maple Grove, MN 55311-2832 | |
| Daniel W Eurman | Diagnostic Radiology | Radadvantage A Professional Corporation | 7612 Zanzibar N Ln, Osseo, MN 55311-3709 |
| Lynn M Marrs | Clinical Social Worker | 6347 Upland N Ln, Maple Grove, MN 55311-4005 | |
| Scott A Frick | Optometry | 13645 Grove Dr N, Maple Grove, MN 55311-4405 | |
| Brent E Tieri | Chiropractic | 13324 Bass Lake Rd, Maple Grove, MN 55311-4540 | |
| Londa L Fischer Costello | Optometry | 13334 Bass Lake Rd N, Maple Grove, MN 55311-4540 | |
| Find all physicians in zip 55311 | |||
| City | MAPLE GROVE |
| Zip Code | 55311 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MAPLE GROVE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.