Individual
GAIL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 POLK COUNTY PLZ, SUITE 180, BALSAM LAKE, WI 54810-9071
(715) 485-8500
(715) 485-8501
Mailing address
100 POLK COUNTY PLZ, SUITE 180, BALSAM LAKE, WI 54810-9071
(715) 485-8500
(715) 485-8501
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
77261-30
WI
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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