Dr JESSICA L PETERSON is a female medical professional, specializing in Family Medicine. She graduated in 2011 from Michigan State University College Of Human Medicine.
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
2601 FIELDCREST DR
KAUKAUNA
WI
541304523
Tel: 9204626100
| Npi | 1538451307 |
| Pac Id | 8921228594 |
| Professional Enrollment Id | I20141002000370 |
| Last Name | PETERSON |
| First Name | JESSICA |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Secondary Specialty 4 | |
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| Organization Legal Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Group Practice Pac Id | 0244142420 |
| Number Of Group Practice Members | 257 |
| Line 1 Street Address | 2601 FIELDCREST DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 541304523 |
| Phone Number | 9204626100 |
| Hospital Affiliation Ccn 1 | 520009 |
| Hospital Affiliation Lbn 1 | ST ELIZABETH HOSPITAL |
| Hospital Affiliation Ccn 2 | 520160 |
| Hospital Affiliation Lbn 2 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
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| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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