Wade Peitersen, LAT

NPI 1154476141 · on the registry since 2007

Practice

Address: 800 Algoma Blvd
Kolf Sports Center 169l
Oshkosh, WI 54901
Phone: (920) 424-7138
Fax: (920) 424-1068
Organisation at this address: University Of Wisconsin System Non Payroll
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin