Jerald Miles Petersen, MD

NPI #1649209032 in Mount Horeb, Wisconsin

Provider Information

NPI Number: 1649209032
Entity Type: Individual
Name: Jerald Miles Petersen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Hospitalist
Credential: MD
Enumeration Date: Jun 30, 2006
Last Updated: Feb 13, 2022

Practice Location

Address: 1275 LINDOKKEN RD STE 315
City: Mount Horeb
State: Wisconsin
ZIP Code: 53572-9701
Phone: (000) 000-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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