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1043941164
CHAD MICHAEL PETERSON
MILWAUKEE, WI
NPI
1043941164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
CHAD MICHAEL PETERSON
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-704-6360
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Mailing Address
CHAD MICHAEL PETERSON
S90W27030 NORWAY DR
MUKWONAGO, WI 53149-8596
Phone number:
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