Organization
PETERSON CHIROPRACTIC FAMILY WELLNESS CENTRE, S.C.
Active
Other names
Peterson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
LOYAL S. PETERSON D.C., D.A.B.C. O. (OWNER)
(920) 834-2888
Entity
Organization
Contact information
Practice address
344 MCDONALD ST, OCONTO, WI 54153-1152
(920) 834-2888
(920) 834-4011
Mailing address
344 MCDONALD ST, OCONTO, WI 54153-1152
(920) 834-2888
(920) 834-4011
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1530
WI
Other
Enumeration date
11/30/2007
Last updated
07/03/2008
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