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1689132045
PETER EIDSMOE
GREENFIELD, WI
NPI
1689132045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14535)
Enumeration Date
2019-03-05
Last Update Date
2019-04-25
Business Address
PETER EIDSMOE PT
2915 W LAYTON AVE
GREENFIELD, WI 53221-2626
Phone number: 414-282-7810
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Mailing Address
PETER EIDSMOE PT
1532 S GREEN BAY RD STE 200
MT PLEASANT, WI 53406-4468
Phone number: 262-321-0240
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