WILLIAM J PETERSEN PA
NPI 1073580569
Physician Assistant - Medical in Madison, WI

Active since March 02, 2006
2409 CENTER AVE, MADISON, WI 53704(000) 000-0000 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William J Petersen Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM J PETERSEN PA (NPI 1073580569) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (294) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1073580569
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWILLIAM J PETERSENCredential: PA
Location Address2409 CENTER AVEMadison, WI 53704-5628
Mailing Address2409 Center AveMadison, WI 53704-5628
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
NPI 1073580569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 294
2409 CENTER AVE, Madison, WI 53704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Petersen's NPI number?

The NPI number for William Petersen is 1073580569. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is William Petersen located?

William Petersen practices at 2409 Center Ave, Madison, WI 53704. The listed phone number is (000) 000-0000.

What is William Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for William Petersen was last updated on May 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.