DR. Russell N Petersen, D.C

NPI #1164550620 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1164550620
Entity Type: Individual
Name: DR. Russell N Petersen, D.C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C
Enumeration Date: Feb 28, 2007
Last Updated: Jan 23, 2012

Practice Location

Address: 4027 S BUSINESS DR
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-1261
Phone: (920) 459-9090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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