Individual
PETER GERARD PRYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 S PARK ST, 4 TOWER, MADISON, WI 53715-1507
(608) 267-6676
Mailing address
1008 SPAIGHT ST, MADISON, WI 53703-3506
(608) 294-9450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39817
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32451000
—
WI
Enumeration date
08/22/2006
Last updated
07/08/2007
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