Search › Wisconsin › 163WH0200X
Shelley Peterson
NPI 1861538340 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6190 Congress Dr
West Bend, WI 53095 - Phone
- (262) 675-6390
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-14
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