RUSSELL N PETERSEN

SHEBOYGAN, WI
NPI1164550620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  4058-012)
Enumeration Date2007-02-28
Last Update Date2012-01-23
Business Address
Dr. RUSSELL N PETERSEN D.C
4027 S BUSINESS DR
SHEBOYGAN, WI 53081-1261
Phone number: 920-459-9090
Mailing Address
Dr. RUSSELL N PETERSEN D.C
4027 S BUSINESS DR
SHEBOYGAN, WI 53081-1261
Phone number: 920-459-9090