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Individual

DR. AMY MARIE PEOT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
230 N WISCONSIN ST, DE PERE, WI 54115-2735
(920) 336-3390
(920) 336-2186
Mailing address
230 N WISCONSIN ST, DE PERE, WI 54115-2735
(920) 336-3390
(920) 336-2186

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2717-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38603700
WI
Enumeration date
05/17/2006
Last updated
07/08/2007
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