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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4058-012 (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.
3 other providers at this address
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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.