Individual
CHRISTOPHER G PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2866
Mailing address
PO BOX 1008, WAUSAU, WI 54402-1008
(715) 847-2304
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
41432
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34123900
—
WI
Enumeration date
08/10/2006
Last updated
09/21/2009
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