MR. William Harreld Peterson, PA-C

NPI #1164482212 in Great Lakes, Illinois

Provider Information

NPI Number
1164482212
Entity Type
Individual
Name
MR. William Harreld Peterson, PA-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3420 ILLINOIS ST
Address 2
USS TRANQUILITY MEDICAL CLINIC 1007
ZIP Code
60088-5230
Phone
(847) 688-6755

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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