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

Dr. John William Petersen, DC

Individual provider Neurology Chiropractor · NPI 1720110737

Dr. John William Petersen, DC is a Neurology Chiropractor in Maple Grove, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369-7167
Phone: (763) 420-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Chiropractor (primary) Taxonomy 111NN0400X · Licence 1764 (MN)

Record details

NPI number1720110737
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007
Mailing address12000 Elm Creek Blvd N Ste L70, Maple Grove, MN 55369-7167

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