Search › Wisconsin › 152W00000X
Brynn Peterson, OD
NPI 1164774402 · on the registry since 2012
Practice
- Address
- 4622 Mormon Coulee Rd
La Crosse, WI 54601 - Phone
- (608) 788-9564
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 2043 College Way, Forest Grove, OR
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-18
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