Michael Gustavo Peterson
NPI #1134790090 in Gothenburg, Nebraska
Provider Information
- NPI Number
- 1134790090
- Entity Type
- Individual
- Name
- Michael Gustavo Peterson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 1, 2021
- Last Updated
- Jul 7, 2021
Practice Location
- Address
- 718 4TH ST
- City
- Gothenburg
- State
- Nebraska
- ZIP Code
- 69138-2347
- Phone
- (308) 537-2048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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