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Jennifer C Peterson, MD
Pediatric Critical Care Medicine Physician in La Crosse, Wisconsin
NPI 1154586071

Jennifer C Peterson is a Pediatric Critical Care Medicine Physician based in La Crosse, WI and is specialized in Pediatric Critical Care Medicine. Jennifer C Peterson practices in La Crosse, WI and has the professional credentials of MD. The NPI Number for Jennifer C Peterson is 1154586071 and holds a License No. 13205 (Wisconsin).

The current practice location address for Jennifer C Peterson is 1836 South Ave, La Crosse, WI and can be reached out via phone at 608-782-7300.

Location: 1836 South Ave, La Crosse, WI, 54601-5429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154586071
Provider Name
Jennifer C Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1836 South Ave, La Crosse, WI, 54601-5429
Phone Number
608-782-7300
Fax Number
Provider Enumeration Date
07/21/2008
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81315 05 ND
institution
Provider Business Practice Location Address Details
Address
1836 South Ave
City
La Crosse
State
Wisconsin
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider Business Mailing Address Details
Address
1836 South Ave
City
La Crosse
State
Wisconsin
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
075484 (Georgia)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
13205 (North Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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