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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK THEODORE PETERSON, NAPRAPATH

Active Sole Proprietor

DR. MARK THEODORE PETERSON, NAPRAPATH is a Specialist healthcare provider located in ROCKFORD, Illinois. NPI 1558481366 is currently active in the NPPES registry. Verify at CMS.

Specialist · ROCKFORD, IL

Registration Details

NPI Number
1558481366
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2007 (19.419086120497 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
5712 NEWBURG RD
ROCKFORD, IL, 611086707
Browse IL providers · Browse ZIP 61108
Phone
8153978840
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ROCKFORD, IL

Name Credential NPI
ALFRED R HUYOUNG MD 1306849989
DR. WILLIAM N GEORGIS M.D. 1508865692
DR. GARY D RIFKIN M.D. 1245239284
SUSAN C STEVENSON MS, ATC/L 1962470013
DR. ANN AGUSTSSON MATHERS D.O. 1417912411
DR. MARK EDWIN CARLSON MD 1790741049
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.