Individual
WESLEY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
720 S MARQUETTE ST UNIT 412, RACINE, WI 53403-1181
(612) 368-4222
Mailing address
720 S MARQUETTE ST UNIT 412, RACINE, WI 53403-1181
(612) 368-4222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1117500
WI
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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