Individual
DR. BRIAN J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6000
Mailing address
7435 WEST TALCOTT AVENUE, RESURRECTION EMERGENCY MEDICINE RESIDENCY PROGRAM, CHICAGO, IL 60631-3746
(773) 792-7921
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
52859
MN
207P00000X
Emergency Medicine Physician
Primary
54360-21
WI
Other
Enumeration date
02/11/2009
Last updated
05/10/2019
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