Robert L. Peterson, M.d., S.c.

NPI #1063535706 in Waupaca, Wisconsin

Provider Information

NPI Number: 1063535706
Entity Type: Organization
Organization Name: Robert L. Peterson, M.d., S.c.
Primary Specialty: Family Medicine
Enumeration Date: Apr 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 900 RIVERSIDE DR
Address 2: SUITE III
City: Waupaca
State: Wisconsin
ZIP Code: 54981-1983
Phone: (715) 258-8898

Authorized Official

Name: ROBERT LESTER PETERSON, M.D.
Title: PRESIDENT
Phone: (715) 258-8898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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