Individual
MICHAEL PAUL PETROKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1370 GATEWAY BLVD, SUITE 100, MURFREESBORO, TN 37129-2589
(615) 848-9265
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0000001636
TN
231H00000X
Audiologist
AU2377
CA
237600000X
Audiologist-Hearing Aid Fitter
HA7071
CA
Other
Enumeration date
05/16/2007
Last updated
03/01/2023
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