Elizabeth Marie Petty
Pediatrician Clinical Genetics (M.D.)
1500 Highland Ave
Madison
, Wisconsin 53705-2274
Elizabeth Marie Petty
Pediatrician Clinical Genetics (M.D.)
1500 Highland Ave
Madison
, Wisconsin 53705-2274
(608) 833-0999
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Elizabeth Marie Petty
- 7974 Uw Health Ct
- Middleton, WI
- Zip : 53562-5531
- Fax : (608) 833-0999
- Phone : (608) 829-5485
Second Address
- Elizabeth Marie Petty
- 1500 Highland Ave
- Madison, WI
- Zip : 53705-2274
- Fax : (608) 265-7429
- Phone : (608) 263-3301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 28794-20 | WI |
| N | 208000000X | Pediatrician | 28794-20 | WI |
National Provider Identifier
| NPI | 1447331889 |
|---|---|
| Provider Name | Elizabeth Marie Petty |
| First Address | Middleton, WI 53562-5531 |
| Second Address | Madison, WI 53705-2274 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 20/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.