Individual
DR. RENE A PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
35202 ATLANTIC AVE, MILLVILLE, DE 19967
(302) 541-0323
(302) 539-8736
Mailing address
35202 ATLANTIC AVE, MILLVILLE, DE 19967-6901
(302) 541-0323
(302) 539-8736
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E10000129
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000957917
—
DE
Enumeration date
03/09/2006
Last updated
03/28/2019
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