Individual
MS. STEPHANIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9200 W LOOMIS RD, SUITE 210, FRANKLIN, WI 53132-8887
(414) 529-9275
(414) 529-9222
Mailing address
9200 W LOOMIS RD, SUITE 210, FRANKLIN, WI 53132-8887
(414) 529-9275
(414) 529-9222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12345
WI
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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