Individual
SEAN WIBERG PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LAT, ATC
Contact information
Practice address
1810 CATLIN AVE, ROOM 1246, SUPERIOR, WI 54880
(715) 395-4641
Mailing address
915 E 5TH ST APT 3, DULUTH, MN 55805-3809
(218) 590-5397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2201-39
WI
2255A2300X
Athletic Trainer
3203
MN
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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