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

Dr. Roger Dwight Petersen, MD

Individual provider Family Medicine Physician · NPI 1871853846

Dr. Roger Dwight Petersen, MD is a Family Medicine Physician in Elkhorn, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
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

20 S Washington St
Elkhorn, WI 53121
Phone: (262) 723-6668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15694-20 (WI)

Record details

NPI number1871853846
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2012
Last updated in NPPESMay 23, 2012
Mailing address5197 Majorca Club Drive, Boca Raton, FL 33486

Other providers in Elkhorn