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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