Petzke, Jamie R

Petzke, Jamie R is an sole proprietor health care provider with primary practice located at 1700 Tuttle St , Baraboo WI 53913-3319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Petzke, Jamie R can be contacted via phone (608) 356-1400.

Contact Information

Primary practice address
1700 Tuttle St Baraboo WI 53913-3319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 75717 Wisconsin

Profile Details

NPI number 1811459605
LBN Legal business name Petzke, Jamie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2019
Last updated Sep 29th, 2022 - 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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