Peterson, Thomas L

Peterson, Thomas L is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Peterson, Thomas L can be contacted via phone (715) 236-8100.

Contact Information

Primary practice address
1700 W Stout St Rice Lake WI 54868-5000
Phone: (715) 236-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X WI26696 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X WI26696 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X WI26696 Wisconsin
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X WI26696 Wisconsin

Profile Details

NPI number 1609820620
LBN Legal business name Peterson, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Feb 15th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609820620 NPPES
Wisconsin MEDICAID 30653800

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