Individual
ELIZABETH MARIE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 HIGHLAND AVE, MADISON, WI 53705-2274
(608) 263-3301
(608) 265-7429
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
(608) 833-0999
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
28794-20
WI
208000000X
Pediatrics Physician
28794-20
WI
Other
Enumeration date
10/18/2006
Last updated
08/20/2015
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