Individual
SUSAN MARY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20600 MILTON CT, BROOKFIELD, WI 53045-4020
(262) 784-2849
Mailing address
20600 MILTON CT, BROOKFIELD, WI 53045-4020
(262) 784-2849
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
82551
WI
Other
Enumeration date
06/02/2006
Last updated
04/10/2008
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