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ROBERT L. PETERSON, M.D., S.C.
NPI 1063535706
Family Medicine in Waupaca, WI

Active since April 09, 2007
900 RIVERSIDE DR, SUITE III, WAUPACA, WI 54981(715) 258-8898(715) 258-6980 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert L. Peterson, M.d., S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT L. PETERSON, M.D., S.C. (NPI 1063535706) is a healthcare organization registered as a family medicine in Waupaca, Wisconsin and active in the NPI registry since April 2007. The organization lists Robert Lester Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1063535706
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROBERT L. PETERSON, M.D., S.C.
Location Address900 RIVERSIDE DR, SUITE IIIWaupaca, WI 54981-1983
Mailing Address900 Riverside Dr, Suite IiiWaupaca, WI 54981-1983 · (715) 258-8898 · Fax (715) 258-6980
Phone(715) 258-8898
Fax(715) 258-6980
Organization SubpartNo
Authorized OfficialRobert Lester PetersonPresident · (715) 258-8898
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063535706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
900 RIVERSIDE DR, Waupaca, WI 54981
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOREFRONT DERMATOLOGY, S.C.
Dermatology
900 RIVERSIDE DR, SUITE 5
WAUPACA, WI 54981
Waupaca County (715) 258-3041
ROBERT LESTER PETERSON M.D.
Family Medicine
900 RIVERSIDE DR, SUITE III
WAUPACA, WI 54981
Waupaca County (715) 258-8898

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert L. Peterson, M.D., S.C.'s NPI number?

The NPI number for Robert L. Peterson, M.D., S.C. is 1063535706. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Robert L. Peterson, M.D., S.C. located?

Robert L. Peterson, M.D., S.C. is located at 900 Riverside Dr Suite III, Waupaca, WI 54981. The listed phone number is (715) 258-8898.

What is Robert L. Peterson, M.D., S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Robert L. Peterson, M.D., S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.