Kristopher Wyllis Peterson DC

NPI 1003862871 - Chiropractor - 111N00000X

NPI Details
NPI 1003862871
Gender Male
Enumeration Date 05/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5703 75TH ST
KENOSHA WI, 53142-3603, US
Phone (262) 697-1363
Fax (262) 697-1388
Business Location
5703 75TH ST
KENOSHA WI, 53142-3603, US
Phone (262) 697-1363
Fax (262) 697-1388
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 3762012
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According to our database, Dr. Kristopher Wyllis Peterson DC NPI is 1003862871, taxonomy code is 111N00000X and license number is 3762012, license state is located at Wisconsin. Kristopher Wyllis Peterson DC physically located at 5703 75th St, Kenosha WI, 53142-3603. NPI Number Kristopher Wyllis Peterson DC has the Individual type.

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1003862871 NPI number is provided on an as is basis without warranty of any kind. 1003862871 is maintained by the National Plan & Provider Enumeration System. The contents of Kristopher Wyllis Peterson DC are for informational purposes only.