MARK A PETERSON

KENOSHA, WI
NPI1740397140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  575-023)
Enumeration Date2006-08-23
Last Update Date2024-04-18
Business Address
Mr. MARK A PETERSON PA-C
7540 22ND AVE
KENOSHA, WI 53143
Phone number: 262-656-7800
Mailing Address
Mr. MARK A PETERSON PA-C
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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