Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER S PETERSON, MD
ActiveJENNIFER S PETERSON, MD is a Dermatology healthcare provider located in DODGEVILLE, Wisconsin. NPI 1700841178 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DODGEVILLE, WI
Registration Details
- NPI Number
- 1700841178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2006 (20.333212908472 yrs)
- Last Updated
- Jan 7, 2015
- Licenses
-
41433-020 (WI)41433-020 (WI)
Practice Information
- Address
-
1204 JOSEPH ST # 2DODGEVILLE, WI, 535339670Browse WI providers · Browse ZIP 53533
- Phone
- 6085745044
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.