SearchWisconsin101YA0400X

James Peterson

NPI 1245353770 · on the registry since 2007

Practice

Address
152 E State St
Burlington, WI 53105
Phone
(262) 763-8183
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YP2500X
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin