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

Eric Richard Petersen

Individual provider Peer Specialist · NPI 1639004443

Eric Richard Petersen is a Peer Specialist in Menasha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

1476 Kenwood Dr Ste 101
Menasha, WI 54952-1134
Phone: (920) 284-7950
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (WI)

Record details

NPI number1639004443
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address415 E Doty Ave, Neenah, WI 54956-2975

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