Individual
VICKI LYNN PETRASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 CARPENTER RD STE 220, ANN ARBOR, MI 48108-1267
(734) 971-6300
Mailing address
2770 CARPENTER RD. SUITE 220, ANN ARBOR, MI 48108
(734) 971-6300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703089086
MI
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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