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1568961720
TRISTAN PHILIP PETERSON
WAUSAU, WI
NPI
1568961720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: WI 167761)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
TRISTAN PHILIP PETERSON Certified Surgical T
5200 HUMMINGBIRD RD SUITE 100
WAUSAU, WI 54401-6312
Phone number: 715-359-6442
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Mailing Address
TRISTAN PHILIP PETERSON Certified Surgical T
5200 HUMMINGBIRD RD. SUITE 100
WAUSAU, WI 54401-6312
Phone number: 715-359-6442
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