Individual provider · Type 1 NPI

Matthew D. Peterson, PA-C

Physician Assistant · Kenosha, WI

NPI number 1750803474 Active

Practice location

10400 75th St
Kenosha, WI 53142-7884

Call (262) 948-5600 Map

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

Other practice locations

  • 9555 76th St, Pleasant Prairie, WI 53158-1984 · (414) 290-6720

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4071-23 (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 1750803474

Matthew D. Peterson, PA-C's National Provider Identifier is 1750803474, issued on Jul 14, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kenosha, WI. The record was last updated on Nov 29, 2022.