| Doctor Name: | DR. CHARLES PETERS |
| NPI Number: | 1013965755 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2005029313 |
| Business Practice Address: | 191 Theater Road Mayo Clinic Health System Franciscan Healthcare Onalaska, WI - 546508679 |
| Business Phone Number: | 6083925002 |
| Business Fax Number: | |
| Mailing Address: | 191 Theater Road, Mayo Clinic Health System Franciscan Healthcare ONALASKA |
| State: | WI |
| Postal Code: | 546508679 |
| Phone Number: | 6083925002 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 05/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0207X |
| License Number: | 2005029313 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Hematology-Oncology |
| Taxonomy Definition: | A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |