NPI

Peter John Jacques

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2007-09-18
Last updated
2013-01-30

Specialties

Licenses

License WI
3448024

Location

Practice location
W4652 Glenn St
City
Appleton WI
Postal code
54913-9563
Phone
(920) 540-8840

Organization contact

Name
PETER JACQUES
Title
Owner CEO
Phone
9205408840

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Appleton, WI. 4,049 records in the public file.

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