Individual
JOHN H. PETRISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4496
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD-53555
IA
Other
Enumeration date
08/19/2006
Last updated
09/03/2024
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