Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gregory Joseph Petersen, DC

Individual provider Chiropractor · NPI 1851631907

Dr. Gregory Joseph Petersen, DC is a Chiropractic in Maple Grove, Minnesota. Qualified in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2013
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

9505 Blackoaks Ln N
Maple Grove, MN 55311-1229
Phone: (763) 420-4111
Fax: (763) 420-4145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5767 (MN)

Record details

NPI number1851631907
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 27, 2013
Last updated in NPPESFebruary 27, 2013
Mailing address9505 Blackoaks Ln N, Maple Grove, MN 55311-1229

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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