DR. Jay Joseph Peterson, DC

NPI #1174743421 in Edgerton, Wisconsin

Provider Information

NPI Number: 1174743421
Entity Type: Individual
Name: DR. Jay Joseph Peterson, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Apr 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 701 ELM DRIVE
City: Edgerton
State: Wisconsin
ZIP Code: 53534-1212
Phone: (608) 931-5657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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