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Dr. Russell N Petersen, D.C

Chiropractor in Sheboygan, WI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164550620

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Registry record

Entity type Individual (Type 1)
Name Dr. Russell N Petersen
Credential D.C
Sex Male
Practice address 4027 S Business Dr, Sheboygan, WI, 53081
Fax (920) 459-7426
Enumeration date Feb 28, 2007
Last updated in NPPES Jan 23, 2012

Taxonomy & licenses

111N00000X Chiropractor Chiropractic Providers · License 4058-012 (WI) Primary
DC · Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential

Other identifiers

Identifier Type State Issuer
38834800 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Russell Petersen?
Russell Petersen is registered in NPPES with the primary taxonomy of Chiropractor. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-23.