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Individual

PETER DEVRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8296
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8296

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
69807
WI
208D00000X
General Practice Physician
69807
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100080447
WI
Enumeration date
04/03/2017
Last updated
08/28/2025
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