Richard Peterson

NPI 1720246036 · on the registry since 2008 · sole proprietor

Practice

Address: 601 N Briarcliff Dr
Appleton, WI 54915
Phone: (920) 739-4466
Organisation at this address: Fox River Nursing And Rehab Center Llc
601 Briarcliff Drive Operating Company, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 2251G0304X
2251G0304X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-23

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