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Thomas L Peterson

Emergency Physician Emergency Medical Services Pediatric Emergency Physician

1700 W Stout St
Rice Lake , Wisconsin 54868-5000

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Thomas L Peterson

Emergency Physician Emergency Medical Services Pediatric Emergency Physician

1700 W Stout St
Rice Lake , Wisconsin 54868-5000

(715) 387-5511 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Physician
  • Emergency Medical Services
  • Pediatric Emergency Physician

Languages spoken

  • English

Location

1700 W Stout St Rice Lake , Wisconsin 54868-5000

First Address

  • Thomas L Peterson
  • 1000 N Oak Ave
  • Marshfield, WI
  • Zip : 54449-5703
  • Phone : (715) 387-5511

Second Address

  • Thomas L Peterson
  • 1700 W Stout St
  • Rice Lake, WI
  • Zip : 54868-5000
  • Phone : (715) 236-8100

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FAQs


Where did Thomas L Peterson attend graduate school?

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Where did Thomas L Peterson do his residency?

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Where did Thomas L Peterson do his fellowship?

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Is Thomas L Peterson board certified?

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What type of doctor is Thomas L Peterson

Emergency Physician

In what state does Thomas L Peterson practice in?

Wisconsin

Where is Thomas L Peterson ’s practice located?

1700 W Stout St , Rice Lake, Wisconsin, 54868-5000

What is Thomas L Peterson ’s gender?

Male

Is Thomas L Peterson a sole practitioner?

No

Is Thomas L Peterson accepting new patients?

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What languages does Thomas L Peterson speak?

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Does Thomas L Peterson accept insurance?

Yes, Thomas L Peterson accepts insurance

Does Thomas L Peterson offers telemedicine?

Thomas L Peterson has not indicated if he offers telemedicine

What is Thomas L Peterson ’s professional license number?

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What is Thomas L Peterson ’s NPI number?

1609820620

Does Thomas L Peterson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207P00000X Emergency Physician WI26696 WI
N 207PE0004X Emergency Medical Services WI26696 WI
N 207PP0204X Pediatric Emergency Physician WI26696 WI

National Provider Identifier

NPI 1609820620
Provider Name Thomas L Peterson
First Address Marshfield, WI 54449-5703
Second Address Rice Lake, WI 54868-5000
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/05/2006
Last Update Date 15/02/2010

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
30653800 (05) WI
B55719 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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