Individual
STACEY S PETRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(651) 968-5200
Mailing address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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