Gregory William Peckels ATC, LAT

NPI 1396973079 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1396973079
Gender Male
Enumeration Date 07/01/2009
Last Updated 07/01/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2629 N 7TH ST
SHEBOYGAN WI, 53083-4932, US
Phone (920) 451-5550
Fax
Business Location
2629 N 7TH ST
SHEBOYGAN WI, 53083-4932, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Wisconsin
License Number 1020-039
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According to our database, Gregory William Peckels ATC, LAT NPI is 1396973079, taxonomy code is 2255A2300X and license number is 1020-039, license state is located at Wisconsin. Gregory William Peckels ATC, LAT physically located at 2629 N 7th St, Sheboygan WI, 53083-4932. NPI Number Gregory William Peckels ATC, LAT has the Individual type.

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1396973079 NPI number is provided on an as is basis without warranty of any kind. 1396973079 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory William Peckels ATC, LAT are for informational purposes only.