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1407902307
MICHAEL JAMES PETERSEN
ROSEVILLE, MN
NPI
1407902307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 9923)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL JAMES PETERSEN D.D.S.
3101 OLD HIGHWAY 8 SUITE #303
ROSEVILLE, MN 55113-1072
Phone number: 651-636-0840
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Mailing Address
Dr. MICHAEL JAMES PETERSEN D.D.S.
3101 OLD HIGHWAY 8 SUITE #303
ROSEVILLE, MN 55113-1072
Phone number: 651-636-0840
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