Ms Boyd M Peterson, DC | |
1155 N Mayfair Rd, Spine Care Clinic At Plank Road, Milwaukee, WI 53226-3421 | |
(414) 955-7199 | |
(414) 955-0110 |
Full Name | Ms Boyd M Peterson |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 33 Years |
Location | 1155 N Mayfair Rd, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417901422 | NPI | - | NPPES |
007000261F | Other | HUMANA | |
1417901422 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2800 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
Provider Name | The Medical College Of Wisconsin Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Ms Boyd M Peterson, DC 1155 N Mayfair Rd, Spine Care Clinic At Plank Road, Milwaukee, WI 53226-3421 Ph: (414) 955-7199 | Ms Boyd M Peterson, DC 1155 N Mayfair Rd, Spine Care Clinic At Plank Road, Milwaukee, WI 53226-3421 Ph: (414) 955-7199 |
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