DR. GREGORY JOSEPH PETERSEN


Address: 9505 Blackoaks Ln N, Maple Grove, MN 55311-1229
Phone: 7634204111

DR. GREGORY JOSEPH PETERSEN (NPI# 1851631907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851631907
Entity Type Individual
Full Name DR. GREGORY JOSEPH PETERSEN
Credential D.C.
Practice Address 9505 Blackoaks Ln N
Maple Grove
MN 55311-1229
Practice Telephone 7634204111
Practice Fax Number 7634204145
Mailing Telephone 7634204111
Mailing Fax Number 7634204145
Enumeration Date 2013-02-27
Last Update Date 2013-02-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 5767 MN Chiropractic Providers

Other Providers GREGORY PETERSEN

NPI Name Taxonomy Address Enumeration
1285687012 Gregory G Petersen Anesthesiology 8th Avenue and C Street, Lds Hospital, Salt Lake City, UT 84143 2006-05-19
1275509804 Gregory Petersen Psychologist 2017 Jefferson St Sw, Roanoke, VA 24014-2419 2006-02-24

Office Location

Street Address 9505 BLACKOAKS LN N
City MAPLE GROVE
State MN
Zip Code 55311-1229

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609391374 Deborah Lynn Higgins Foster Care Agency 8288 Revelwood Place, Maple Grove, MN 55311 2017-08-03
1013457993 Trillium Chiropractic & Wellness Pa Chiropractor 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 2017-02-27
1720535263 Fischer Vision PC Optometrist 13334 Bass Lake Road North, Maple Grove, MN 55311 2016-09-01
1033571062 Iman Dadras Konestani Marriage & Family Therapist 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 2016-03-29
1902272685 Todd Archbold Social Worker 18153 80th Pl N, Maple Grove, MN 55311 2015-08-17
1144634395 Petersen Chiropractic Inc. Chiropractor 9505 Blackoaks Ln No., Maple Grove, MN 55311 2014-06-16
1972738276 Sara Jean Bidler Marriage & Family Therapist 7026 E Fish Lake Rd, Maple Grove, MN 55311 2009-05-16
1962670026 Helminger Chiropractic, P.a. Chiropractor 9479 Garland Lane North, Maple Grove, MN 55311 2008-02-12
1457579450 Cynthia C Cassel Physician Assistant 6300 Wedgewood Way, Maple Grove, MN 55311 2007-04-23
1386860732 Thomas Triden Chiropractor 7494 East Fish Lake Road, Maple Grove, MN 55311 2007-04-17
Find all providers in zip 55311

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861031403 Greg Donald Beenken Chiropractor 10900 89th Ave N Ste 1, Maple Grove, MN 55369-4027 2019-12-30
1487213377 Danielson Chiropractic LLC Chiropractor 13700 Reimer Dr N Ste 250a, Maple Grove, MN 55311-4580 2019-06-13
1922529528 Restore Chiropractic LLC Chiropractor 15507 Grove Cir N, Maple Grove, MN 55369-4488 2017-07-05
1013457993 Trillium Chiropractic & Wellness Pa Chiropractor 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 2017-02-27
1235678392 Makenzie Lynn Steenerson Chiropractor 13786 Reimer Dr N, Maple Grove, MN 55311-2205 2017-02-21
1922401579 Movement Health Solutions, LLC Chiropractor 7373 Kirkwood Ct N, Suite 110, Maple Grove, MN 55369-5205 2014-09-26
1144634395 Petersen Chiropractic Inc. Chiropractor 9505 Blackoaks Ln No., Maple Grove, MN 55311 2014-06-16
1609296748 Renae Elizabeth Taylor Chiropractor 7772 Polaris Ln N, Maple Grove, MN 55311-2111 2014-04-16
1215356167 Brad Griffore Chiropractor 13580 Grove Dr, Maple Grove, MN 55311-4400 2014-04-08
1184049298 Northwest Family Chiropractic Pa Chiropractor 7372 Kirkwood Court, Suite A, Maple Grove, MN 55369 2014-02-26
Find all providers in MAPLE GROVE

Competitor

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City MAPLE GROVE
Zip Code 55311

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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