Organization
RENE' A PETERSON, DPM LLC
Active
Other names
Rene' A Peterson DPM
Organization subpart
No
Provider details
NPI number
Authorized official
RENE' PETERSON DPM (OWNER/PHYSICIAN)
(302) 541-0323
Entity
Organization
Contact information
Practice address
35202 ATLANTIC AVE, MILLVILLE, DE 19967
(302) 541-0323
(302) 539-8736
Mailing address
35202 ATLANTIC AVE, MILLVILLE, DE 19967
(302) 541-0323
(302) 539-8736
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000957915
—
DE
Enumeration date
12/16/2018
Last updated
12/16/2018
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