Deborah J. Petersen in Waukesha - Adolescent Medicine
Deborah J. Petersen - NPI 1770558199
Deborah J. Petersen is a Adolescent Medicine in Waukesha, Wisconsin. Deborah J. Petersen practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Deborah J. Petersen is 1770558199. The last update date is 2007-07-08.
Deborah J. Petersen's current location address is 1111 Delafield St, Waukesha, Wisconsin. You can contact this provider via phone number 2625422536 and fax number 2625422791. The mailing address for Deborah J. Petersen is 1111 Delafield St, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Deborah J. Petersen |
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Address | 1111 Delafield St, Waukesha, Wisconsin |
Phone Number | 2625422536 |
Fax Number | 2625422791 |
Sole Proprietor | X |
Credentials | MD |
NPI Number Detail
NPI Number | 1770558199 |
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Provider Enumeration Date | 2006-02-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1111 Delafield St |
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City | Waukesha |
State | Wisconsin (WI) |
Post Code | 531883417 |
Phone Number | 2625422536 |
Fax Number | 2625422791 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 2080A0000X |
Licence No | 31076 |
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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23059300 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Deborah J. Petersen?
The Deborah J. Petersen has been issued the NPI (National Provider Identifier) 1770558199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Deborah J. Petersen is physically located?
The Deborah J. Petersen is situated at the following address: 1111 Delafield St, Waukesha, WI 531883417.
What is the Deborah J. Petersen's specialty and taxonomy code?
The Deborah J. Petersen's specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.
On what date did the Deborah J. Petersen receive its 1770558199 assignment from the Centers for Medicare & Medicaid Services?
The Deborah J. Petersen was assigned its 1770558199 by the Centers for Medicare & Medicaid Services on 2006-02-20.
When was the Deborah J. Petersen's information last updated?
The Deborah J. Petersen's information was last updated on 2007-07-08.