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Carl R Peterson, DC
Chiropractor in Coon Valley, Wisconsin
NPI 1144281684

Carl R Peterson is a Chiropractor based in Coon Valley, WI. Carl R Peterson practices in Coon Valley, WI and has the professional credentials of DC. The NPI Number for Carl R Peterson is 1144281684 and holds a License No. 3132 (Wisconsin).

The current practice location address for Carl R Peterson is 113 Central Ave, Coon Valley, WI and can be reached out via phone at 608-452-2525 and via fax at 608-452-2526.

Location: 113 Central Ave, Coon Valley, WI, 54623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144281684
Provider Name
Carl R Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
113 Central Ave, Coon Valley, WI, 54623
Phone Number
608-452-2525
Fax Number
608-452-2526
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
263J1PE 01 MN BC/BS MN #
350041526 01 WI RR MEDICARE #
38880400 05 WI
0006 01 WI MEDICARE SEQUENCE #
institution
Provider Business Practice Location Address Details
Address
113 Central Ave
City
Coon Valley
State
Wisconsin
Zip
54623
Phone Number
608-452-2525
Fax Number
608-452-2526
person
Provider Business Mailing Address Details
Address
113 Central Ave
City
Coon Valley
State
Wisconsin
Zip
54623
Phone Number
608-452-2525
Fax Number
608-452-2526
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3132 (Wisconsin)
Definition
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.
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