Individual provider · Type 1 NPI

Stacy L. Peterson, MD

Plastic and Reconstructive Surgery Physician · Wichita, KS

NPI number 1316030638 Active

Practice location

818 N Emporia St, Suite 305
Wichita, KS 67214-3729

Call (316) 265-1441 Map

Fax (316) 265-1685

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X0419242 (KS)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1316030638

Stacy L. Peterson, MD's National Provider Identifier is 1316030638, issued on Sep 30, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Wichita, KS. The record was last updated on Jul 8, 2007.