Individual
STEVEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Mailing address
9200 W WISCONSIN AVE, CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48937
CO
207RC0000X
Cardiovascular Disease Physician
Primary
57267
WI
208M00000X
Hospitalist Physician
48937
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01686879
—
CO
05
—
1942401146
—
WI
Enumeration date
05/29/2007
Last updated
07/20/2015
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