Individual
CAROLINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 775-8630
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-001150
IL
363AS0400X
Surgical Physician Assistant
Primary
1830
WI
Other
Enumeration date
12/01/2005
Last updated
05/04/2015
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