Search › Wisconsin › 183500000X
John Peterson, PHARMD
NPI 1861750630 · on the registry since 2012
Practice
- Address
- 24106 State Road 35 70
Siren, WI 54872 - Phone
- (715) 349-2221
- Fax
- (715) 349-7350
- Organisation at this address
- St. Croix Chippewa Indians Of Wi
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-11
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