Individual
PETER JAMES MASSOGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
117 W NORRIE ST, IRONWOOD, MI 49938-2430
(906) 932-8091
Mailing address
117 W NORRIE ST, IRONWOOD, MI 49938-2430
(906) 932-8091
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310628-031
WI
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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