Petersen, Daniel Lyle

Petersen, Daniel Lyle is an sole proprietor health care provider with primary practice located at 5305 Business Highway 51 S , Weston WI 54476. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Petersen, Daniel Lyle can be contacted via phone (715) 355-9640.

Contact Information

Primary practice address
5305 Business Highway 51 S Weston WI 54476
Phone: (715) 355-9640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15147-40 Wisconsin

Profile Details

NPI number 1396092391
LBN Legal business name Petersen, Daniel Lyle
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2012
Last updated Aug 8th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers