SearchWisconsinStudent in an Organized Health Care Education/Training Program

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