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Steven Michael Petry, DC Valid NPI

Individual provider · Chiropractor · New Brighton, MN

NPI
1710065198
Type
Individual (Type 1)
Primary specialty
Chiropractor
Specialty group
Chiropractic Providers
Taxonomy code
111N00000X
License number
MN2172 (MN)
Sex
Male
Sole proprietor
No
Enumerated
2006-11-01
Last updated
2007-07-08
Practice location
2467 15th St Nw
New Brighton, MN 55112
(651) 633-6212

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