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Dr. Greggory Lyle Peterson, MD
Student in an Organized Health Care Education/Training Program in La Crosse, Wisconsin
NPI 1952153025

Greggory Lyle Peterson is a Student in an Organized Health Care Education/Training Program based in La Crosse, WI. Greggory Lyle Peterson practices in La Crosse, WI and has the professional credentials of MD. The NPI Number for Greggory Lyle Peterson is 1952153025 and holds a License No. (Wisconsin).

The current practice location address for Greggory Lyle Peterson is 1836 South Ave, La Crosse, WI and can be reached out via phone at 608-782-7300.

Location: 1836 South Ave, La Crosse, WI, 54601-5429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952153025
Provider Name
Greggory Lyle Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1836 South Ave, La Crosse, WI, 54601-5429
Phone Number
608-782-7300
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1836 South Ave
City
La Crosse
State
Wisconsin
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider Business Mailing Address Details
Address
1836 South Ave
City
La Crosse
State
Wisconsin
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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