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Individual

DR. TRAVIS G. PETRICEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6577
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 649-6577
(828) 651-6570

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036156249
IL
208600000X
Surgery Physician
200900109
NC
208600000X
Surgery Physician
Primary
74530
WI

Other

Enumeration date
01/09/2008
Last updated
01/30/2025
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