Individual
CHRISTOPHER PREVIN PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 24TH ST S, WISCONSIN RAPIDS, WI 54494-1908
(715) 424-8600
(715) 424-8341
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
47070
MN
207P00000X
Emergency Medicine Physician
Primary
48720-20
WI
207Q00000X
Family Medicine Physician
48720
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34825000
—
WI
Enumeration date
05/16/2006
Last updated
08/06/2024
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