Peterson Dermatology, S.c.

NPI #1023406493 in Dodgeville, Wisconsin

Provider Information

NPI Number: 1023406493
Entity Type: Organization
Organization Name: Peterson Dermatology, S.c.
Primary Specialty: Dermatology
Enumeration Date: Jan 7, 2015
Last Updated: Jan 7, 2015

Practice Location

Address: 1204 JOSEPH ST # 2
City: Dodgeville
State: Wisconsin
ZIP Code: 53533-9670
Phone: (608) 574-5044

Authorized Official

Name: DR. JENNIFER S PETERSON, M.D.
Title: DERMATOLOGIST
Phone: (608) 574-5044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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