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DR. ROGER DWIGHT PETERSEN M.D.
NPI 1871853846
Family Medicine in Elkhorn, WI

Active since May 23, 2012
20 SOUTH WASHINGTON ST, ELKHORN, WI 53121(262) 723-6668 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger Dwight Petersen M.d. NPPES

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

DR. ROGER DWIGHT PETERSEN M.D. (NPI 1871853846) is an individual family medicine provider in Elkhorn, Wisconsin, licensed in Wisconsin (15694-20) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1871853846
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROGER DWIGHT PETERSENCredential: M.D.
Location Address20 SOUTH WASHINGTON STElkhorn, WI 53121
Mailing Address5197 Majorca Club DriveBoca Raton, FL 33486
Phone(262) 723-6668
Sole ProprietorYes
Enumeration DateMay 23, 2012
✔ NPI 1871853846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 15694-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20 SOUTH WASHINGTON ST, Elkhorn, WI 53121
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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 Roger Petersen's NPI number?

The NPI number for Roger Petersen is 1871853846. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Roger Petersen located?

Roger Petersen practices at 20 South Washington St, Elkhorn, WI 53121. The listed phone number is (262) 723-6668.

What is Roger Petersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Roger Petersen was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.