Gary Peterson
Respiratory Therapist, Certified in Sauk City, WI. Individual provider (NPI-1).
NPI number1932288024
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1932288024
- Entity type
- Individual (NPI-1)
- Name
- Gary Peterson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227800000X | Respiratory Therapist, Certified | 2772 | WI | Yes |
Practice location
880 Independence LnSauk City, WI 53583-1381
Phone 608-643-2343
Mailing address
880 Independence LnSauk City, WI 53583-1381
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