| NPI | 1710510896 |
|---|---|
| Doing Business As | OFFICE OF DR. REESE R. PETERSEN, DC |
| Entity Type | Organization |
| Authorized Contact | REESE RAYMOND PETERSEN Sole Member/Owner 563-259-6173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-07-27 |