Individual
DR. RONALD DANIEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10135 HWY SS, BLOOMER, WI 54724
(715) 568-1251
(715) 568-1252
Mailing address
10135 HWY SS, BLOOMER, WI 54724
(715) 568-1251
(715) 568-1252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
481291951010
BLUE CROSS
WI
Enumeration date
10/16/2006
Last updated
07/08/2007
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