| Gary John Peterson, DDS | |
|
2010 Progress Blvd, Antigo, WI 54409-2475 | |
| (715) 623-7221 | |
| Not Available |
| Full Name | Gary John Peterson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2010 Progress Blvd, Antigo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538289467 | NPI | - | NPPES |
| 33407500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2494 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary John Peterson, DDS N7245 Us Highway 45, Deerbrook, WI 54424-9246 Ph: (715) 623-7392 | Gary John Peterson, DDS 2010 Progress Blvd, Antigo, WI 54409-2475 Ph: (715) 623-7221 |
Raymond J Portman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 705 Fifth Ave, Antigo, WI 54409 Phone: 715-623-5331 Fax: 715-627-1852 | |
Meghan Keely Obrien, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 707 6th Ave, Antigo, WI 54409 Phone: 715-627-4391 Fax: 715-627-4392 | |
Dr. Peter Scott Freyer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 112 East Fifth Ave, Langlade Memorial Hospital, Antigo, WI 54409 Phone: 715-539-8181 Fax: 715-539-2462 | |
Dr. Lisa Michelle Krebs, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 408 State Highway 64, Antigo, WI 54409 Phone: 715-627-1000 Fax: 715-627-7123 | |
Dr. Stanley Ernest Brown, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 705 5th Ave, Antigo, WI 54409 Phone: 715-623-5331 Fax: 715-627-1852 | |
Timothy James O Brien, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 707 6th Avenue, Antigo, WI 54408 Phone: 715-627-4391 Fax: 715-627-4392 |