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MICHAEL PETERSON PHARMR
NPI 1295412880
Pharmacist in Wautoma, WI

Active since July 05, 2023
400 S TOWNLINE RD, WAUTOMA, WI 54982(920) 787-5514(920) 787-4737 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Peterson Pharmr NPPES

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

MICHAEL PETERSON PHARMR (NPI 1295412880) is an individual pharmacist in Wautoma, Wisconsin, licensed in Wisconsin (12940-40) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1295412880
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMICHAEL PETERSONCredential: PHARMR
Location Address400 S TOWNLINE RDWautoma, WI 54982-6922
Mailing Address400 S Townline RdWautoma, WI 54982-6922 · (920) 787-5514 · Fax (920) 787-4737
Phone(920) 787-5514
Fax(920) 787-4737
Sole ProprietorNo
Enumeration DateJuly 5, 2023
NPPES CertifiedJuly 5, 2023
✔ NPI 1295412880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 12940-40
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
400 S TOWNLINE RD, Wautoma, WI 54982
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Other Providers at the Same Location NPPES 20

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

KAYLA MEILICK RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
JANET KRIEDERMANN RECORE RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
HOLLY L KRIZAN RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
AMY SCHOENOFF APNP
Nurse Practitioner (Psychiatric/Mental Health)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
LA CLINICA DE LOS CAMPESINOS, INC
Pharmacy
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 647-8984
DR. JOAN L. FOX DDS
Dentist (General Practice)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
MRS. ERIKA RENAE ANNA RDN, CD
Dietitian, Registered
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
JOSEPH W CARON MD
Family Medicine
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (800) 942-5330

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 Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1295412880. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Michael Peterson located?

Michael Peterson practices at 400 S Townline Rd, Wautoma, WI 54982. The listed phone number is (920) 787-5514.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.