Individual
JOHN DEMI PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3113 SAEMANN AVE, SHEBOYGAN, WI 53081-1957
(920) 496-4700
Mailing address
3113 SAEMANN AVE, SHEBOYGAN, WI 53081-1957
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
82520-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254103
—
WI
Enumeration date
05/12/2017
Last updated
01/19/2024
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