Individual
DR. KRISTOPHER WYLLIS PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5703 75TH ST, KENOSHA, WI 53142-3603
(262) 697-1363
(262) 697-1388
Mailing address
5703 75TH ST, KENOSHA, WI 53142-3603
(262) 697-1363
(262) 697-1388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3762012
WI
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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