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Individual

JAMIE LYNN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5267
(715) 389-3142
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5267
(715) 389-3142

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
11/08/2012
Last updated
11/08/2012
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