Individual provider · Type 1 NPI

Mark A. Peterson, PA-C

Physician Assistant · Kenosha, WI

NPI number 1740397140 Active

Practice location

7540 22nd Ave
Kenosha, WI 53143

Call (262) 656-7800 Map

Fax (262) 656-7810

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X575-023 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740397140

Mark A. Peterson, PA-C's National Provider Identifier is 1740397140, issued on Aug 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kenosha, WI. The record was last updated on Apr 18, 2024.