Individual
DR. CHRISTOPHER JAMES PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
277 N 9TH ST, DE PERE, WI 54115-1548
(920) 336-6594
Mailing address
3110 GARDENIA DR, APPLETON, WI 54913-8520
(920) 740-8761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001273-15
WI
Other
Enumeration date
05/26/2015
Last updated
01/06/2017
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