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1609439066
SHANE STEAN PETERSON
ROCHESTER, MN
NPI
1609439066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MN 76770)
Enumeration Date
2019-04-20
Last Update Date
2024-10-21
Business Address
SHANE STEAN PETERSON DO
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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Mailing Address
SHANE STEAN PETERSON DO
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
Copy
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