Tristan Philip Peterson, CERTIFIED SURGICAL T Valid NPI

Individual provider · Surgical Technologist · Wausau, WI

NPI

1568961720

Type

Individual (Type 1)

Primary specialty

Surgical Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246ZS0410X

License number

167761 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2018-02-02

Last updated

2018-02-02