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Individual

DR. MARK E PETRIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13151 MAGISTERIAL DR, STE 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
(502) 587-0126
Mailing address
13151 MAGISTERIAL DR, STE 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
(502) 587-0126

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
26506
KY

Other

Enumeration date
08/09/2005
Last updated
07/02/2010
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