Individual
WILLIAM J PETRAIUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36060 EUCLID AVE, SUITE 204, WILLOUGHBY, OH 44094
(440) 602-6553
(440) 602-6566
Mailing address
PO BOX 714328, COLUMBUS, OH 43271-4328
(800) 354-1985
(440) 350-4938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35061722
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0836975
—
OH
Enumeration date
08/21/2006
Last updated
09/06/2007
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