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

Dr. Russell N Petersen, DC

Individual provider Chiropractor · NPI 1164550620

Dr. Russell N Petersen, DC is a Chiropractic in Sheboygan, Wisconsin. Graduated from Palmer College Chiropractic - Davenport in 2004, 22 years ago. Practices with Creekside Chiropractic and Rehabilitation Ltd, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Trained at
Palmer College Chiropractic - Davenport
Licensed in
WI
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4027 S Business Dr
Sheboygan, WI 53081-1261
Phone: (920) 459-9090
Fax: (920) 459-7426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4058-012 (WI)

Record details

NPI number1164550620
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJanuary 23, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 2004 (22 years in practice)
Group practice Creekside Chiropractic And Rehabilitation Ltd — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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