Michael Jake Petersen, MD
Michael Jake Petersen, MD is a Sports Medicine in Seattle, Washington. Graduated from Rush Medical College of Rush University in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Washington.
- Years since qualifying
- 5
- Trained at
- Rush Medical College of Rush University
- Licensed in
- WA
- In the registry since
- 2019
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3800 Montlake BlvdSeattle, WA 98195-0007
Phone: (206) 520-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Sports Medicine Physician (primary) | Taxonomy 2080S0010X · Licence MD.MD.61679347 (WA) |
|---|
Record details
| NPI number | 1780248146 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2019 |
| Last updated in NPPES | April 11, 2026 |
| Certification date | April 11, 2026 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Also practises | PEDIATRIC MEDICINE |
| Medical school | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
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