Individual
MICHAEL JAKE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 MONTLAKE BLVD, SEATTLE, WA 98195-0007
(206) 520-5000
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A191321
CA
2080S0010X
Pediatric Sports Medicine Physician
Primary
MD.MD.61679347
WA
Other
Enumeration date
04/30/2019
Last updated
04/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us