PETER MATHEW LAKE

OCONOMOWOC, WI
NPI1306830377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: WI  312115020)
Enumeration Date2005-09-07
Last Update Date2021-10-13
Business Address
Mr. PETER MATHEW LAKE MD
34700 VALLEY RD ROGERS MEMORIAL HOSPITAL
OCONOMOWOC, WI 53066-4500
Phone number: 262-646-4411
Mailing Address
Mr. PETER MATHEW LAKE MD
34700 VALLEY RD
OCONOMOWOC, WI 53066-4500
Phone number: 262-646-4411
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