Individual
ERICA PETTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST FL 4, PHILADELPHIA, PA 19104-4229
(215) 662-2078
(215) 615-0471
Mailing address
3400 SPRUCE ST FL 4, PHILADELPHIA, PA 19104-4229
(215) 662-2078
(215) 615-0471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD471406
PA
Other
Enumeration date
04/24/2013
Last updated
09/21/2020
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