Individual
ASHTEN PETRAVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 PETERSBURG RD, PETERSBURG, MI 49270-2501
(734) 626-8310
Mailing address
182 PETERSBURG RD, PETERSBURG, MI 49270-2501
(734) 626-8310
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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