Individual
JAMIE R PETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 356-1400
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 280-4647
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
75717
WI
Other
Enumeration date
04/02/2019
Last updated
09/29/2022
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