Individual
MS. ANN KATHRYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2239 S 108TH ST, WEST ALLIS, WI 53227-1107
(414) 541-2772
Mailing address
9424 WILSON BLVD, WAUWATOSA, WI 53226-1742
(414) 302-9958
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
60227030
WI
Other
Enumeration date
04/04/2007
Last updated
05/24/2013
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