Search › Wisconsin › 207Q00000X
Roger Petersen, M.D
NPI 1871853846 · on the registry since 2012 · sole proprietor
Practice
- Address
- 20 South Washington St
Elkhorn, WI 53121 - Phone
- (262) 723-6668
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-23
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