MR. Joe R Peterson, P.A.

NPI #1174802805 in Madison, Wisconsin

Provider Information

NPI Number: 1174802805
Entity Type: Individual
Name: MR. Joe R Peterson, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Aug 11, 2011
Last Updated: Nov 11, 2020

Practice Location

Address: 1821 S STOUGHTON RD
City: Madison
State: Wisconsin
ZIP Code: 53716-2257
Phone: (608) 260-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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