Individual
PETER A MASSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49533-021
WI
208M00000X
Hospitalist Physician
Primary
49533
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43549100
—
WI
Enumeration date
12/18/2006
Last updated
04/17/2025
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