Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Peterson, PHARMR

Individual provider Pharmacist · NPI 1295412880

Michael Peterson, PHARMR is a Pharmacist in Wautoma, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

400 S Townline Rd
Wautoma, WI 54982-6922
Phone: (920) 787-5514
Fax: (920) 787-4737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12940-40 (WI)

Record details

NPI number1295412880
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMR
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

Other providers in Wautoma