KARL ROBERT PETERSON

GROVER, MO
NPI1700181922
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: MO  2003021203)
Enumeration Date2011-01-19
Last Update Date2011-01-19
Business Address
Mr. KARL ROBERT PETERSON APRN CNM
317 GOLDEN CHERRY DR
GROVER, MO 63040-1658
Phone number: 636-273-1298
Mailing Address
Mr. KARL ROBERT PETERSON APRN CNM
317 GOLDEN CHERRY DR
GROVER, MO 63040-1658
Phone number: 636-273-1298