IndividualActive
John Petersen, D.C.
NPI 1720110737 · Neurology Chiropractor · Maple Grove, MN
Provider details
- NPI number
- 1720110737
- Entity type
- Individual
- Primary specialty
- Neurology ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1764 (MN)
Specialties & taxonomies
Chiropractic Providers
Practice location
12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369-7167
Phone: (763) 420-4111
Approximate (ZIP-level) locationGet directions
Mailing address
12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369-7167
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.