Petersen, Roger Dwight

Petersen, Roger Dwight is an sole proprietor health care provider with primary practice located at 20 South Washington St , Elkhorn WI 53121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Petersen, Roger Dwight can be contacted via phone (262) 723-6668.

Contact Information

Primary practice address
20 South Washington St Elkhorn WI 53121
Phone: (262) 723-6668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15694-20 Wisconsin

Profile Details

NPI number 1871853846
LBN Legal business name Petersen, Roger Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2012
Last updated May 23rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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