Individual provider · Type 1 NPI

Thomas Rudolph Petersen, DDS

General Practice Dentistry · Stevens Point, WI

NPI number 1437224094 Active

About NPI 1437224094

Thomas Rudolph Petersen, DDS's National Provider Identifier is 1437224094, issued on Nov 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Stevens Point, WI. The record was last updated on Jul 8, 2007.