Dr KATIE L PETERSON is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2008.
BAYCARE CLINIC LLP
2845 GREENBRIER RD
GREEN BAY
WI
543116519
Tel:
| Npi | 1740453141 |
| Pac Id | 3375621865 |
| Professional Enrollment Id | I20150630002444 |
| Last Name | PETERSON |
| First Name | KATIE |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | BAYCARE CLINIC LLP |
| Group Practice Pac Id | 4385554328 |
| Number Of Group Practice Members | 165 |
| Line 1 Street Address | 2845 GREENBRIER RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | GREEN BAY |
| State | WI |
| Zip Code | 543116519 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 520193 |
| Hospital Affiliation Lbn 1 | AURORA BAYCARE MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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