Organization
ROBERT L. PETERSON, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESTER PETERSON M.D. (PRESIDENT)
(715) 258-8898
Entity
Organization
Contact information
Practice address
900 RIVERSIDE DR, SUITE III, WAUPACA, WI 54981-1983
(715) 258-8898
(715) 258-6980
Mailing address
900 RIVERSIDE DR, SUITE III, WAUPACA, WI 54981-1983
(715) 258-8898
(715) 258-6980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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