Organization
PETERSON CHIROPRACTIC CLINIC OF OSHKOSH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS G PETERSON D.C. (PRESIDENT)
(920) 233-7744
Entity
Organization
Contact information
Practice address
1765 TAFT AVE, OSHKOSH, WI 54902-3220
(920) 233-7744
(920) 233-7891
Mailing address
1765 TAFT AVE, OSHKOSH, WI 54902-3220
(920) 233-7744
(920) 233-7891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1804
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38781200
—
WI
Enumeration date
02/27/2007
Last updated
08/22/2020
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