Individual
JEREMY L. PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
780 REGENT ST, MADISON, WI 53715-2635
(608) 282-8270
(608) 287-5992
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47389
WI
Other
Enumeration date
05/09/2006
Last updated
01/29/2021
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