Organization
PETERSON CHIROPRACTIC CLINIC OF OSHKOSH, SC
Active
Organization
PETERSON CHIROPRACTIC CLINIC OF OSHKOSH, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS PETERSON (PRESIDENT)
(920) 233-7744
Entity
Organization
Contact information
Practice address
1765 TAFT AVE, OSHKOSH, WI 54902-3220
(920) 233-7744
Mailing address
1765 TAFT AVE, OSHKOSH, WI 54902-3220
(920) 233-7744
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1804
WI
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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