Individual
MRS. SARAH LEE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
253 FOREST ST, CAMPBELLSPORT, WI 53010-2734
(920) 251-1409
Mailing address
253 FOREST ST, CAMPBELLSPORT, WI 53010-2734
(920) 251-1409
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
159129-030
WI
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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