Individual
DR. ELIZABETH MICHAEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 WARREN ST, SUITE 4, BEAVER DAM, WI 53916-3082
(920) 885-3305
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46524-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34638800
—
WI
Enumeration date
08/04/2005
Last updated
02/24/2025
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