Individual
DR. PETER W VRIEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
706 W 4TH ST, NEW RICHMOND, WI 54017-1440
(715) 246-7000
(715) 246-7002
Mailing address
PO BOX 303, NEW RICHMOND, WI 54017-0303
(715) 246-7000
(715) 246-7002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1537
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38760600
—
WI
01
—
91924VR
BLUE CROSS BLUE SHEILD
MN
Enumeration date
07/21/2005
Last updated
09/16/2011
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