Individual
MOLLIE PFEIFER PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1843 MICHIGAN ST, STURGEON BAY, WI 54235-1007
(920) 746-1060
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2806
WI
Other
Enumeration date
09/29/2011
Last updated
04/07/2023
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