Individual provider · NPI-1
Peter J Dalum, MD
Family Medicine · Marshfield, WI
NPI number1215030846
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1215030846
- Entity type
- Individual (NPI-1)
- Name
- Peter J Dalum
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 33248 | WI | Yes |
Practice location
1000 N Oak AveMarshfield, WI 54449
Phone 715-267-6600
Mailing address
1000 N Oak AveMarshfield, WI 54449-5777
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