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John Peterson, MS

NPI 1538184395 · on the registry since 2006

Practice

Address
1478 Kenwood Ctr
Suite #1
Menasha, WI 54952
Phone
(920) 886-9319
Fax
(920) 886-9357
Clinicians at this address
9

Registry record

Primary taxonomy
106H00000X
106H00000X
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