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Jacob Peterson
NPI 1699597963 · on the registry since 2024
Practice
- Address
- 1475 Engineering Dr
Madison, WI 53706 - Phone
- (608) 264-8065
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Also registered as
- Athletic Trainer
- Sex
- Male
- Record last updated
- 2024-10-29
- Status
- Not present in the most recent federal file
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