DR. JON PETERSEN, M.D.
Preventive Medicine - Occupational Medicine
Active
Individual
NPI: 1285621516
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Preventive Medicine - Occupational Medicine | 2083X0100X | Yes | 036129728 (IL) |
| Family Medicine | 207Q00000X | No | 036129728 (IL) |
Frequently Asked Questions
NPI 1285621516 is the National Provider Identifier for DR. JON PETERSEN, M.D., a Preventive Medicine - Occupational Medicine provider located in Decatur, IL. This NPI was enumerated on October 3, 2005.
DR. JON PETERSEN, M.D. practices at 1750 E LAKE SHORE DR, Decatur, IL 62521.
Quick Facts
- NPI
- 1285621516
- Type
- Individual
- Enumerated
- Oct 3, 2005
- Last Updated
- Oct 12, 2016
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