Individual
PETRA M LAEVEN-SESSIONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 2ND ST, PEDIATRIC HOSPITALIST DEPT, NEENAH, WI 54956-2883
(920) 969-7900
(920) 969-7979
Mailing address
130 2ND ST, PEDIATRIC HOSPITALIST DEPT, NEENAH, WI 54956-2883
(920) 969-7900
(920) 969-7979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62317-20
WI
208000000X
Pediatrics Physician
9639
MT
208000000X
Pediatrics Physician
MD60147163
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028424
—
MT
05
—
1689675563
—
WI
05
—
2011936
—
WA
Enumeration date
08/02/2005
Last updated
06/27/2014
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