STEPHEN P PETERSON

LAKE GENEVA, WI
NPI1629127915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  45762)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
-- STEPHEN P PETERSON MD
146 E GENEVA SQ
LAKE GENEVA, WI 53147-9694
Phone number: 262-249-5000
Mailing Address
-- STEPHEN P PETERSON MD
501 PHEASANT RIDGE LN
FONTANA, WI 53125-1491
Phone number: 262-275-5663
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