Search › Wisconsin › 208M00000X
Jerald Petersen, MD
NPI 1649209032 · on the registry since 2006
Practice
- Address
- 1275 Lindokken Rd Ste 315
Mount Horeb, WI 53572 - Phone
- (000) 000-0000
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-13
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