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Individual
DR. PETER W VRIEZE
Active
Individual
DR. PETER W VRIEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1537
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38760600
—
WI
01
—
91924VR
BLUE CROSS BLUE SHEILD
MN
Enumeration date
07/21/2005
Last updated
09/16/2011
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