Individual provider · Type 1 NPI

William J. Petersen, PA

Medical Physician Assistant · Madison, WI

NPI number 1073580569 Active

Practice location

2409 Center Ave
Madison, WI 53704-5628

Call (000) 000-0000 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X294 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1073580569

William J. Petersen, PA's National Provider Identifier is 1073580569, issued on Mar 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on May 21, 2021.