Doctor Name: | JUNE MARIE PETERS |
NPI Number: | 1487637658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 52609-030 |
Business Practice Address: | 835 S Main St Ste 2 Oconto Falls, WI - 541541282 |
Business Phone Number: | 9208469995 |
Business Fax Number: | 9208468031 |
Mailing Address: | 835 S Main St, Ste 2 OCONTO FALLS |
State: | WI |
Postal Code: | 541541282 |
Phone Number: | 9208469995 |
Fax Number: | 9208468031 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 52609-030 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |