Organization
PETERSON DERMATOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER S PETERSON M.D. (DERMATOLOGIST)
(608) 574-5044
Entity
Organization
Contact information
Practice address
1204 JOSEPH ST # 2, DODGEVILLE, WI 53533-9670
(608) 574-5044
Mailing address
1204 JOSEPH ST # 2, DODGEVILLE, WI 53533-9670
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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