JENNIFER C PETERSON

LA CROSSE, WI
NPI1154586071
Former NameJENNIFER C MOSHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: WI  53734)
Additional Taxonomies2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: ND  13205)
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: GA  075484)
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: AZ  71077)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-07-21
Last Update Date2024-07-01
Business Address
JENNIFER C PETERSON M.D.
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
JENNIFER C PETERSON M.D.
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300