MR. Wade Christian Peitersen, LAT

NPI #1154476141 in Oshkosh, Wisconsin

Provider Information

NPI Number
1154476141
Entity Type
Individual
Name
MR. Wade Christian Peitersen, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
800 ALGOMA BLVD
Address 2
KOLF SPORTS CENTER 169L
ZIP Code
54901-3551
Phone
(920) 424-7138

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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