Petersen, Michael

Petersen, Michael is an individual health care provider with primary practice located at 5754 Nicollet Ave , Minneapolis MN 55419-2415. He recently has only one registered license in Other Service Providers / Veterinarian, which is considered as his primary health care specialty. Petersen, Michael can be contacted via phone (612) 866-7103.

Contact Information

Primary practice address
5754 Nicollet Ave Minneapolis MN 55419-2415
Phone: (612) 866-7103
Fax: (612) 866-0250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Veterinarian 174M00000X 04212 Minnesota

Profile Details

NPI number 1740602960
LBN Legal business name Petersen, Michael
Credentials Doctor of Veterinary Medicine (DVM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2014
Last updated Jan 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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