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Individual
ANDREW R. PETERSON
Active
Individual
ANDREW R. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-39155
IA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
48969
WI
Other
Enumeration date
04/20/2006
Last updated
03/24/2025
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