CHRISTOPHER E PETERSEN (NPI# 1356323950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356323950 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER E PETERSEN |
| Credential | PA C |
| Practice Address |
16812 S Main St Galesville WI 54630-7704 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6085822025 |
| Mailing Telephone | (608) 782-7300 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2017-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1335 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396147708 | Christopher Petersen | Registered Nurse | 28 Leesville Rd, Moodus, CT 06469-1003 | 2014-09-17 |
| 1033320346 | Christopher Jay Petersen | Chiropractor | 839 W Palmdale Blvd, Palmdale, CA 93551-4261 | 2007-05-25 |
| 1316937840 | Christopher Glen Petersen | Optometrist | 701 2nd Ave Se, Quincy, WA 98848-1531 | 2005-10-26 |
| 1831685890 | Christopher Petersen | Pharmacist | 126 N Main St, Conrad, IA 50621-7748 | 2018-07-02 |
| 1033423991 | Christopher Petersen | Pharmacist | 2645 Arapaho Rd, Garland, TX 75044-7941 | 2010-08-03 |
| 1447204573 | Christopher A Petersen | Psychiatry & Neurology | 22 Northeast Dr, Hershey, PA 17033-2732 | 2006-05-22 |
| Street Address |
16812 S MAIN ST |
| City | GALESVILLE |
| State | WI |
| Zip Code | 54630-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134693161 | Gerald Francis Jennings | Pharmacist | 16812 S Main St, Galesville, WI 54630-7704 | 2019-01-12 |
| 1083964969 | Gundersen Clinic, Ltd | Clinic/Center | 16812 S Main St, Galesville, WI 54630 | 2012-09-18 |
| 1346524923 | Leslie Ann Atkinson | Pharmacist | 16812 S Main St, Galesville, WI 54630-7704 | 2011-09-30 |
| 1134235682 | Jennifer E Sorenson | Physician Assistant | 16812 S Main St, Galesville, WI 54630 | 2006-08-21 |
| 1801873112 | Pharmacare Ltd | Durable Medical Equipment & Medical Supplies | 16812 S Main St, Galesville, WI 54630-7704 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174505770 | Lillian J Nordin | Nurse Practitioner | 16812 S Main Street, Galesville, WI 54630 | 2005-11-18 |
| 1669597928 | Galen Roy Koxlien | Dentist | 19815 East Gale Ave, Galesville, WI 54630-0715 | 2007-03-19 |
| 1750374609 | Bethany St. Joseph Corporation | Skilled Nursing Facility | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2005-08-25 |
| 1851958508 | Kelly Wolf | Physical Therapy Assistant | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2019-05-28 |
| 1063698298 | Molly Mae Flynn | Chiropractor | 16853 S 1st St, Galesville, WI 54630-7191 | 2008-01-17 |
| 1881790202 | Joseph J Antonie | Chiropractor | 16812 S 2nd St, Ste 120, Galesville, WI 54630-7295 | 2006-09-15 |
| 1184971095 | Garet R Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2012-08-09 |
| 1750739082 | Alisha Kay Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2016-05-26 |
| 1275939308 | Galesville Chiropractic LLC | Chiropractor | 16812 S 2nd St, Suite 120, Galesville, WI 54630-7320 | 2014-11-17 |
| 1407291917 | Galesville Ltc Pharmay LLC | Pharmacy | 16814 S Main St, Galesville, WI 54630-7704 | 2013-05-10 |
| Find all providers in zip 54630 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
| City | GALESVILLE |
| Zip Code | 54630 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.