Marypat C Peterson (NPI# 1861504896, PAC ID# 8729038872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1861504896 |
| PAC ID by PECOS | 8729038872 |
| Professional Enrollment ID | I20050127000019 |
| Full Name | Marypat C Peterson |
| Organization Legal Name | COON VALLEY CHIROPRACTIC SC |
| Address |
113 Central Ave Coon Valley WI 54623-8039 |
| Phone Number | 6084522525 |
| Gender | F |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1994 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 6901856053 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 113 Central Ave, Coon Valley, WI 54623-8039 | 6084522525 | COON VALLEY CHIROPRACTIC SC |
| Organization Legal Name | COON VALLEY CHIROPRACTIC SC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl R Peterson | Chiropractic | Coon Valley Chiropractic Sc | 113 Central Ave, Coon Valley, WI 54623-8039 |
| Street Address |
113 CENTRAL AVE |
| City | COON VALLEY |
| State | WI |
| Zip | 54623-8039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl R Peterson | Chiropractic | Coon Valley Chiropractic Sc | 113 Central Ave, Coon Valley, WI 54623-8039 |
| John Barravecchio | Internal Medicine | 113 Central Ave, Hyde Park, MA 02136-3021 |
| City | COON VALLEY |
| Zip Code | 54623 |
| Specialty | CHIROPRACTIC |
| City + Specialty | COON VALLEY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Marypat C Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.