Individual
DR. MICHAEL EDWARD PETROSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1520 SANSOM ST, 2ND FLOOR, PHILADELPHIA, PA 19102-2804
(215) 564-4700
(215) 564-4700
Mailing address
1520 SANSOM ST, 2ND FLOOR, PHILADELPHIA, PA 19102-2804
(215) 564-4700
(215) 564-4700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 003761-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114798000
BLUE CROSS #
PA
01
—
PE1763163
BLUE CHOICE #
PA
Enumeration date
08/31/2006
Last updated
07/09/2007
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