Individual
DR. J PETER NYSATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
211 MEMORIAL DR, FORT ATKINSON, WI 53538-1981
(920) 563-2928
Mailing address
211 MEMORIAL DR, FORT ATKINSON, WI 53538-1981
(920) 563-2928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
79-G
WI
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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