Shane C Peterson, D.C. Valid NPI

Individual provider · Chiropractor · Menomonie, WI

NPI

1194749333

Type

Individual (Type 1)

Primary specialty

Chiropractor

Specialty group

Chiropractic Providers

Taxonomy code

111N00000X

License number

3763 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-27

Last updated

2007-07-08