DR. Thomas Rudolph Petersen, DDS
NPI #1437224094 in Stevens Point, Wisconsin
Provider Information
- NPI Number
- 1437224094
- Entity Type
- Individual
- Name
- DR. Thomas Rudolph Petersen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1501 PLOVER ST
- City
- Stevens Point
- State
- Wisconsin
- ZIP Code
- 54481
- Phone
- (715) 344-2324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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