Individual
ELVIS A PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476-5213
(715) 393-1229
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44842
WI
207RI0011X
Interventional Cardiology Physician
Primary
44842
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34298300
—
WI
Enumeration date
09/14/2006
Last updated
03/31/2021
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