Individual
ROBIN A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
996-029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
718960
CDR
WI
Enumeration date
02/23/2009
Last updated
02/23/2009
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