| Mr Michael Andrew Peterson, | |
|
1615 Maple Lane, Ashland, WI 54806 | |
| (715) 682-4563 | |
| (715) 685-5108 |
| Full Name | Mr Michael Andrew Peterson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1615 Maple Lane, Ashland, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023087046 | NPI | - | NPPES |
| 44320400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 80086030 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Andrew Peterson, Po Box 1547, Sedalia, MO 65307 Ph: (660) 826-5960 | Mr Michael Andrew Peterson, 1615 Maple Lane, Ashland, WI 54806 Ph: (715) 682-4563 |
Thomas William Jorgensen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500 | |
Gregory Allen Zinke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500 | |
Ms. Suzanne M Ulmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-682-4563 | |
Mr. Stephen Charles Cushing, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 815-685-5108 | |
Mr. Shawn Douglas Brede, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 715-685-5108 |