Individual provider · Type 1 NPI

Russell N. Petersen, D.C

Chiropractor · Sheboygan, WI

NPI number 1164550620 Active

Practice location

4027 S Business Dr
Sheboygan, WI 53081-1261

Fax (920) 459-7426

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4058-012 (WI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1164550620

Russell N. Petersen, D.C's National Provider Identifier is 1164550620, issued on Feb 28, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sheboygan, WI. The record was last updated on Jan 23, 2012.