Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerald Miles Petersen, MD

Individual provider Hospitalist Physician · NPI 1649209032

Jerald Miles Petersen, MD is a Hospitalist Physician in Mount Horeb, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1275 Lindokken Rd Ste 315
Mount Horeb, WI 53572-9701
Phone: (000) 000-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 64866 (WI)

Record details

NPI number1649209032
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESFebruary 13, 2022
Certification dateFebruary 13, 2022