Dr. Russell N Petersen
D.C | Chiropractor | 21+ years Exp
Medicare Enrolled
4027 S Business Dr, Sheboygan
Wisconsin, 53081-1261
920-459-9090 920-459-7426
Maps & Directions is a Sheboygan, Wisconsin based chiropractor with
21 years of experience in
General Chiropractic. 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 Chiropractic 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: | General Chiropractic |
| Credentials: | D.C |
| Experience: | 21+ 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.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Russell N Petersen below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Russell N Petersen. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.