Individual
MICHAEL LLOYD PETRANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9918 MAIN ST, FAIRFAX, VA 22031-3901
(703) 273-9818
(866) 453-6775
Mailing address
9918 MAIN ST, FAIRFAX, VA 22031-3901
(703) 273-9818
(866) 453-6775
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300947
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
507
NC
Other
Enumeration date
08/01/2006
Last updated
01/05/2015
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