Peterson, Emily

Peterson, Emily is an individual health care provider with primary practice located at 705 S University Ave Ste 200 , Beaver Dam WI 53916-3079. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Peterson, Emily can be contacted via phone (920) 887-9272.

Contact Information

Primary practice address
705 S University Ave Ste 200 Beaver Dam WI 53916-3079
Phone: (920) 887-9272
Fax: (608) 833-6932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 66142-20 Wisconsin

Profile Details

NPI number 1265842306
LBN Legal business name Peterson, Emily
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2014
Last updated Jan 14th, 2021 - about 3 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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