Individual
JOSEPH ROGER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 WATER AVE, HILLSBORO, WI 54634-9054
(608) 489-8000
Mailing address
400 WATER AVE, HILLSBORO, WI 54634-9054
(608) 489-8000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
55789
WI
207N00000X
Dermatology Physician
L5092
TX
Other
Enumeration date
10/10/2005
Last updated
04/10/2024
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