Individual
JOSHUA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1061 E COMMERCE BLVD, SLINGER, WI 53086-9326
(262) 644-2900
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64669
WI
207Q00000X
Family Medicine Physician
C2-0009791
DE
207Q00000X
Family Medicine Physician
OS015636
PA
Other
Enumeration date
06/16/2008
Last updated
09/08/2022
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