Individual
MARK DEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5406 ALDERSON ST, SCHOFIELD, WI 54476-2264
(715) 359-3399
Mailing address
5406 ALDERSON ST, SCHOFIELD, WI 54476-2264
(715) 359-3399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2227
WI
Other
Enumeration date
07/11/2005
Last updated
07/13/2010
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