Dr Thomas John Peterson, DDS | |
519 Christel Dr., Valders, WI 54245 | |
(920) 775-4531 | |
(920) 775-4180 |
Full Name | Dr Thomas John Peterson |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 519 Christel Dr., Valders, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851492573 | NPI | - | NPPES |
33456300 | Medicaid | WI | |
3128015 | Other | WI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3128015 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas John Peterson, DDS 519 Christel Dr., Valders, WI 54245 Ph: (920) 775-4531 | Dr Thomas John Peterson, DDS 519 Christel Dr., Valders, WI 54245 Ph: (920) 775-4531 |
Dr. Thomas Peirick, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 519 Christel Dr, Valders, WI 54245 Phone: 920-775-4531 Fax: 920-775-4180 | |
Dr. Laura Guevara, DDS Dentist Medicare: Medicare Enrolled Practice Location: 519 Christel Drive, Valders, WI 54245 Phone: 920-775-4531 Fax: 920-775-4180 |