Individual
DR. JOHN JOSEPH PETRUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
116 S 4TH ST, STURGIS, MI 49091-1820
(269) 651-3649
Mailing address
116 S 4TH ST, STURGIS, MI 49091-1820
(269) 651-3649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07714
MI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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