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Individual

DR. MARGIE H PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25502
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1016661
PREFERRED ONE
01
160056073
PALMETTO GBA RR MEDICARE
05
30701000
WI
01
46Q71PE
BCBS MN
Enumeration date
06/16/2005
Last updated
01/04/2010
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