Individual
JAMES PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
W344 HIGHWAY DW, THERESA, WI 53091-9777
(262) 623-7373
Mailing address
W344 HIGHWAY DW, THERESA, WI 53091-9777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4445-012
WI
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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