DR. Jon Fredrick Petersen, M.D.

NPI #1285621516 in Decatur, Illinois

Provider Information

NPI Number
1285621516
Entity Type
Individual
Name
DR. Jon Fredrick Petersen, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Preventive Medicine - Occupational Medicine
Credential
M.D.
Enumeration Date
Oct 3, 2005
Last Updated
Oct 12, 2016

Practice Location

Address
1750 E LAKE SHORE DR
ZIP Code
62521-3803
Phone
(217) 464-1440

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Occupational MedicineOccupational Medicine
Family Medicine

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