Peterson, Michael

Peterson, Michael is an individual health care provider with primary practice located at 400 S Townline Rd , Wautoma WI 54982-6922. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peterson, Michael can be contacted via phone (920) 787-5514.

Contact Information

Primary practice address
400 S Townline Rd Wautoma WI 54982-6922
Phone: (920) 787-5514
Fax: (920) 787-4737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12940-40 Wisconsin

Profile Details

NPI number 1295412880
LBN Legal business name Peterson, Michael
Credentials PHARMR
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2023
Last updated Jul 5th, 2023 - about 2 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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