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Shannon Peterson

NPI 1366373821 · on the registry since 2026 · sole proprietor

Practice

Address
404 Lake St
Pewaukee, WI 53072
Phone
(262) 695-5078
Organisation at this address
School District Of Pewaukee
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Sex
Male
Record last updated
2026-05-26

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