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Individual

DR. BRYNN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4622 MORMON COULEE RD, LA CROSSE, WI 54601
(608) 788-9564
Mailing address
4622 MORMON COULEE RD, LA CROSSE, WI 54601-8224
(608) 788-9564
(608) 788-9562

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3407-35
WI

Other

Enumeration date
10/10/2012
Last updated
01/18/2019
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