Gary John Peterson in Deerbrook - General Practice
Gary John Peterson - NPI 1538289467
Gary John Peterson is a General Practice in Deerbrook, Wisconsin. Gary John Peterson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary John Peterson is 1538289467. The last update date is 2007-07-09.
Gary John Peterson's current location address is N7245 Us Highway 45, Deerbrook, Wisconsin. You can contact this provider via phone number 7156237392. The mailing address for Gary John Peterson is N7245 Us Highway 45, Deerbrook, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary John Peterson |
|---|---|
| Address | N7245 Us Highway 45, Deerbrook, Wisconsin |
| Phone Number | 7156237392 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1538289467 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | N7245 Us Highway 45 |
|---|---|
| City | Deerbrook |
| State | Wisconsin (WI) |
| Post Code | 544249246 |
| Phone Number | 7156237392 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2494 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33407500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gary John Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Gary John Peterson has been assigned the NPI (National Provider Identifier) 1538289467. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Gary John Peterson's facilities are geographically located?
The facilities of Gary John Peterson are physically situated at the following location: N7245 Us Highway 45, Deerbrook, WI, 544249246.
What is Gary John Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary John Peterson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Gary John Peterson receive its 1538289467 assignment?
The Gary John Peterson was assigned its 1538289467 on 2007-04-02, which is the date when this unique identifier was issued to the organization.
When was the information regarding Gary John Peterson most recently updated?
The details pertaining to the Gary John Peterson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.