Michael Peterson, PHARMR

NPI #1295412880 in Wautoma, Wisconsin

Provider Information

NPI Number: 1295412880
Entity Type: Individual
Name: Michael Peterson, PHARMR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMR
Enumeration Date: Jul 5, 2023
Last Updated: Jul 5, 2023

Practice Location

Address: 400 S TOWNLINE RD
City: Wautoma
State: Wisconsin
ZIP Code: 54982-6922
Phone: (920) 787-5514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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