Individual
DR. JUSTIN WILLIAM PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2424 S 90TH ST, WEST ALLIS, WI 53227-2455
(414) 321-2255
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 321-2255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101020737
MI
207X00000X
Orthopaedic Surgery Physician
Primary
71467
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091524
—
WI
Enumeration date
06/23/2013
Last updated
11/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us