Individual
MS. MICHELLE R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
856 FAIR ST, MINERAL POINT, WI 53565-1409
(608) 987-5985
Mailing address
856 FAIR ST, MINERAL POINT, WI 53565-1409
(608) 987-5985
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
2581-033
WI
363LF0000X
Family Nurse Practitioner
Primary
2581-33
WI
Other
Enumeration date
08/05/2006
Last updated
03/25/2024
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