DR. Shane C Peterson, D.C.

NPI #1194749333 in Menomonie, Wisconsin

Provider Information

NPI Number: 1194749333
Entity Type: Individual
Name: DR. Shane C Peterson, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2303 SCHNEIDER AVE SE
Address 2: SUITE 150
City: Menomonie
State: Wisconsin
ZIP Code: 54751-7005
Phone: (715) 233-1867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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