Individual
DR. CARRIE YVONNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, COLORECTAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152
Mailing address
9200 W WISCONSIN AVE, COLORECTAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
62650
WI
208600000X
Surgery Physician
A99907
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
62650
WI
Other
Enumeration date
07/15/2008
Last updated
07/30/2014
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