Individual
DR. MATTHEW MICHAEL PETRISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5286
(701) 857-5694
Mailing address
3321 7TH ST NE APT 313, MINOT, ND 58703-1589
(716) 866-8575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
046368
NY
225100000X
Physical Therapist
Primary
2440
ND
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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