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William Petersen

NPI 1588581854 · on the registry since 2026

Practice

Address
2408 Shawnee Dr
Finksburg, MD 21048
Phone
(508) 210-6016

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-29

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 Maryland