Dr. Russell N Petersen is a Sheboygan, Wisconsin based male chiropractor with 20 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 2004. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Russell N Petersen as General Chiropractor is 4058-012 in Wisconsin. Dr. Russell N Petersen is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Russell N Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C
Experience:
20+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
2004
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4027 S Business Dr, Sheboygan, Wisconsin, 53081-1261
Phone:
920-459-9090
Fax:
920-459-7426
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5698796449
Enrollment ID:
I20051208000626
NPI Number:
1164550620
NPI Enumeration Date:
28 Feb, 2007
NPI Last Update On:
23 Jan, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Russell N Petersen are as mentioned below.
License Number
Specialization
State
Status
4058-012
Chiropractor
Wisconsin
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Russell N Petersen is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Creekside Chiropractic And Rehabilitation, Ltd (8921029760)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Russell N Petersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38834800
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4027 S Business Dr, Sheboygan, Wisconsin
Zip:
53081-1261
Phone Number:
920-459-9090
Fax Number:
920-459-7426
Patients can reach Dr. Russell N Petersen at 4027 S Business Dr, Sheboygan, Wisconsin or can call to book an appointment on 920-459-9090. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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