Individual
BRIAN LEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
933 W HIGHLAND AVE, MILWAUKEE, WI 53233-1445
(414) 223-1216
(414) 223-1237
Mailing address
933 W HIGHLAND AVE, MILWAUKEE, WI 53233-1445
(414) 223-1216
(414) 223-1237
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
49701-20
WI
207ZF0201X
Forensic Pathology Physician
Primary
G48918
CA
Other
Enumeration date
07/07/2006
Last updated
07/31/2012
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