Individual
MARY E PETRULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-4969
(614) 293-6111
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4969
(614) 293-6111
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35145625
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498327
—
OH
Enumeration date
06/20/2017
Last updated
01/27/2026
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