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Dr. Jay Joseph Peterson, DC
Chiropractor in Edgerton, Wisconsin
NPI 1174743421

Jay Joseph Peterson is a Chiropractor based in Edgerton, WI. Jay Joseph Peterson practices in Edgerton, WI and has the professional credentials of DC. The NPI Number for Jay Joseph Peterson is 1174743421 and holds a License No. 01-05102 (Wisconsin).

The current practice location address for Jay Joseph Peterson is 701 Elm Drive, Edgerton, WI and can be reached out via phone at 608-931-5657.

Location: 701 Elm Drive, Edgerton, WI, 53534-1212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174743421
Provider Name
Jay Joseph Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
701 Elm Drive, Edgerton, WI, 53534-1212
Phone Number
608-931-5657
Fax Number
Provider Enumeration Date
04/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
701 Elm Drive
City
Edgerton
State
Wisconsin
Zip
53534-1212
Phone Number
608-931-5657
Fax Number
person
Provider Business Mailing Address Details
Address
701 Elm Drive
City
Edgerton
State
Wisconsin
Zip
53534-1212
Phone Number
608-931-5657
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
01-05102 (Kansas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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