NPI 1740602960

Michael Petersen, DVM

Practitioner Veterinarian Minneapolis, MN

Practice location

Address: 5754 Nicollet Ave, Minneapolis, MN 55419-2415
Phone: (612) 866-7103
Fax: (612) 866-0250

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 04212 (MN)

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Registry record

NPI: 1740602960
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2014
Record last updated: 7 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.