Peterson, Deric Wymer

Peterson, Deric Wymer is an individual health care provider with primary practice located at 1424 E College Dr Ste 200 , Marshall MN 56258-2087. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Peterson, Deric Wymer can be contacted via phone (507) 532-2687.

Contact Information

Primary practice address
1424 E College Dr Ste 200 Marshall MN 56258-2087
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 8599 Minnesota

Profile Details

NPI number 1659698959
LBN Legal business name Peterson, Deric Wymer
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2010
Last updated Dec 14th, 2011 - about 14 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.

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