DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROGER DWIGHT PETERSEN, M.D.

Active Sole Proprietor

DR. ROGER DWIGHT PETERSEN, M.D. is a Family Medicine healthcare provider located in ELKHORN, Wisconsin. NPI 1871853846 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ELKHORN, WI

Registration Details

NPI Number
1871853846
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2012 (14.217477176217 yrs)
Last Updated
May 23, 2012
License
15694-20 (WI)
Sole Proprietor
Yes

Practice Information

Address
20 SOUTH WASHINGTON ST
ELKHORN, WI, 53121
Browse WI providers · Browse ZIP 53121
Phone
2627236668
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ELKHORN, WI

Name Credential NPI
DR. KAMAL S MUZAFFAR MD 1174599500
ADRIANA TOBAR MD 1609821826
JEFFREY D TIEMSTRA M.D. 1336252238
DR. DAVID C THIES MD 1861509978
DR. EDWARD E CARLSON MD 1114036738
DR. JEFFREY ALAN KOWALSKI MD 1811169550
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.