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1457342628
THEODORE A PETERSON
SAINT CLOUD, MN
NPI
1457342628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MN 38293)
Enumeration Date
2005-11-04
Last Update Date
2007-07-08
Business Address
THEODORE A PETERSON M.D.
1406 6TH AVE N
SAINT CLOUD, MN 56303-1900
Phone number: 320-251-2700
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Mailing Address
THEODORE A PETERSON M.D.
PO BOX 725
SAINT CLOUD, MN 56302-0725
Phone number: 320-258-3090
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