DR. Deric Wymer Peterson, AU.D.

NPI #1659698959 in Marshall, Minnesota

Provider Information

NPI Number: 1659698959
Entity Type: Individual
Name: DR. Deric Wymer Peterson, AU.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AU.D.
Enumeration Date: Apr 26, 2010
Last Updated: Dec 14, 2011

Practice Location

Address: 1424 E COLLEGE DR STE 200
City: Marshall
State: Minnesota
ZIP Code: 56258-2087
Phone: (507) 532-2687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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