Individual
ANDRZEJ PETRYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
(651) 779-7978
(651) 779-7656
Mailing address
1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
(651) 779-7978
(651) 779-7656
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
43012
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01025768
PREFERRED ONE
MN
01
—
1161828
AMERICA'S PPO
MN
01
—
151274
UCARE MN
MN
01
—
275S6PE
BLUE CROSS BLUE SHIELD MN
MN
05
—
34051900
—
WI
01
—
3600229
MEDICA
MN
05
—
403933500
—
MN
01
—
HP31687
HEALTHPARTNERS
MN
Enumeration date
03/15/2006
Last updated
10/13/2011
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