Individual
MICHAEL R PETROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
638 NEWTOWN YARDLEY RD, STE 2E, NEWTOWN, PA 18940
(215) 968-1711
(215) 860-1976
Mailing address
638 NEWTOWN YARDLEY RD, STE 2E, NEWTOWN, PA 18940
(215) 968-1711
(215) 860-1976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009308
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005067049
AETNA
—
01
—
2451693000
KEYSTONE
—
Enumeration date
08/03/2006
Last updated
07/29/2014
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