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Individual

DR. MICHAEL WILLIAM PETRASEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST

Contact information

Practice address
7650 CHIPPEWA RD, SUITE # 213, BRECKSVILLE, OH 44141-2316
(440) 546-0454
Mailing address
7650 CHIPPEWA RD, SUITE # 213, BRECKSVILLE, OH 44141-2316
(440) 546-0454

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3101
CO
103T00000X
Psychologist
Primary
3538
OH

Other

Enumeration date
05/16/2008
Last updated
05/16/2008
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