Daniel Lyle Petersen, PHARMD
Pharmacist · Weston, WI
Practice location
5305 Business Highway 51 SWeston, WI 54476
- Phone
- (715) 355-9640
NPI record
- NPI
- 1396092391
- Entity type
- Individual (Type 1)
- Enumeration date
- August 8, 2012
- Last updated
- August 8, 2012
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
15147-40 | WI |
Mailing address
5305 Business Highway 51 SWeston, WI 54476-1324
- Phone
- (715) 355-9640
About Dr. Petersen
Daniel Lyle Petersen, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 5305 Business Highway 51 S, Weston, WI 54476. The NPI number 1396092391 was assigned on August 8, 2012 and the record was last updated on August 8, 2012.
Dr. Petersen lists a license in the registry: #15147-40 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Daniel Lyle Petersen, PHARMD?
The NPI number is 1396092391.
What is the phone number of Dr. Petersen?
The phone number listed for the practice location is (715) 355-9640.
Where is Dr. Petersen located?
5305 Business Highway 51 S, Weston, WI 54476.
What is the taxonomy code for Dr. Petersen?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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