Search › Wisconsin › 183500000X
Michael Peterson, PHARMR
NPI 1295412880 · on the registry since 2023
Practice
- Address
- 400 S Townline Rd
Wautoma, WI 54982 - Phone
- (920) 787-5514
- Fax
- (920) 787-4737
- Organisation at this address
- La Clinica De Los Campesinos, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-05
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