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Individual

ROBERT ANTON PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5005 UNIVERSITY AVE STE 100, MADISON, WI 53705-5400
(608) 233-2100
(608) 233-2101
Mailing address
2140 KENDALL AVE, MADISON, WI 53726-3980
(262) 221-4626

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20207-130
WI

Other

Enumeration date
02/01/2024
Last updated
02/01/2024
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