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
Mailing address1275 Lindokken Rd, Mount Horeb, WI 53572-9701