Individual
WILLIAM J PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2409 CENTER AVE, MADISON, WI 53704-5628
(000) 000-0000
Mailing address
2409 CENTER AVE, MADISON, WI 53704-5628
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
294
WI
Other
Enumeration date
03/02/2006
Last updated
05/21/2021
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