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
Mailing address400 S Townline Rd, Wautoma, WI 54982-6922

Other providers in Wautoma