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Search › Idaho › 104100000X

Maximilian Peterson

NPI 1629946926 · on the registry since 2025

Practice

Address
10096 W Fairview Ave
Boise, ID 83704
Phone
(208) 908-7882
Organisation at this address
Avanzar Wellness Llc
Cornerstone Learning Academy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2025-10-28

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 Idaho