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

Tristan Philip Peterson, CERTIFIEDSURGICALT

Individual provider Surgical Technologist · NPI 1568961720

Tristan Philip Peterson, CERTIFIEDSURGICALT is a Surgical Technologist in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018

Practice location Address checks out

5200 Hummingbird Rd Ste 100
Wausau, WI 54401-6312
Phone: (715) 359-6442
Fax: (715) 393-0390
Show map & directions

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

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 167761 (WI)

Record details

NPI number1568961720
Entity typeIndividual (Type 1)
GenderMale
Credentials CERTIFIEDSURGICALT
Sole proprietorNo
NPI enumeratedFebruary 2, 2018
Last updated in NPPESFebruary 2, 2018

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