Individual
DR. DANIEL SCOTT PETKOVSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE # DESKI32, CLEVELAND, OH 44195-0001
(216) 442-7369
(216) 445-2226
Mailing address
9500 EUCLID AVE # DESKI32, CLEVELAND, OH 44195-0001
(216) 442-7369
(216) 445-2226
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.143441
OH
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
35.143441
OH
Other
Enumeration date
06/21/2016
Last updated
04/14/2022
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