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Dr. Russell N Petersen, DC
Chiropractor in Sheboygan, Wisconsin
NPI 1164550620

Russell N Petersen is a Chiropractor based in Sheboygan, WI. Russell N Petersen practices in Sheboygan, WI and has the professional credentials of DC. The NPI Number for Russell N Petersen is 1164550620 and holds a License No. 4058-012 (Wisconsin).

The current practice location address for Russell N Petersen is 4027 S Business Dr, Sheboygan, WI and can be reached out via phone at 920-459-9090 and via fax at 920-459-7426.

Location: 4027 S Business Dr, Sheboygan, WI, 53081-1261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164550620
Provider Name
Russell N Petersen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4027 S Business Dr, Sheboygan, WI, 53081-1261
Phone Number
920-459-9090
Fax Number
920-459-7426
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38834800 05 WI
institution
Provider Business Practice Location Address Details
Address
4027 S Business Dr
City
Sheboygan
State
Wisconsin
Zip
53081-1261
Phone Number
920-459-9090
Fax Number
920-459-7426
person
Provider Business Mailing Address Details
Address
4027 S Business Dr
City
Sheboygan
State
Wisconsin
Zip
53081-1261
Phone Number
920-459-9090
Fax Number
920-459-7426
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4058-012 (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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