ROBERT LESTER PETERSON M.D.
NPI 1720144876
Family Medicine in Waupaca, WI

Active since December 30, 2006
900 RIVERSIDE DR, SUITE III, WAUPACA, WI 54981(715) 258-8898(715) 258-6980 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Lester Peterson M.d. NPPES

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

ROBERT LESTER PETERSON M.D. (NPI 1720144876) is an individual family medicine provider in Waupaca, Wisconsin, licensed in Wisconsin (19601) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1720144876
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT LESTER PETERSONCredential: M.D.
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
Fax(715) 258-6980
Sole ProprietorNo
Enumeration DateDecember 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720144876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 19601
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

Other Identifiers 4

Other19601WI · License
Medicaid31229100WI
Medicare UPINB55715
Medicare ID-Type Unspecified69019

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.

Family Medicine
900 RIVERSIDE DR, SUITE III
WAUPACA, WI 54981
Dermatology
900 RIVERSIDE DR, SUITE 5
WAUPACA, WI 54981

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 Peterson's NPI number?

The NPI number for Robert Peterson is 1720144876. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Where is Robert Peterson located?

Robert Peterson practices at 900 Riverside Dr Suite III, Waupaca, WI 54981. The listed phone number is (715) 258-8898.

What is Robert Peterson'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 Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.