RUSSELL THOMAS PETERSON

SAINT CLOUD, MN
NPI1457513616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  D12530)
Enumeration Date2008-06-30
Last Update Date2009-05-14
Business Address
Dr. RUSSELL THOMAS PETERSON DDS
816 W SAINT GERMAIN ST SUITE 101
SAINT CLOUD, MN 56301-4502
Phone number: 320-252-2454
Mailing Address
Dr. RUSSELL THOMAS PETERSON DDS
816 W SAINT GERMAIN ST SUITE 101
SAINT CLOUD, MN 56301-4502
Phone number: 320-252-2454