Search › Wisconsin › 367500000X
Todd Petersen, CRNA
NPI 1902082563 · on the registry since 2008
Practice
- Address
- 130 S Knowles Ave
New Richmond, WI 54017 - Phone
- (715) 246-3018
- Fax
- (715) 246-3019
- Organisation at this address
- River Valley Anesthesia, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 2302 Highway 46 # 159, Deer Park, WI
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin