Individual
DAWN MARIE PETROVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16985 W BLUEMOUND RD, BROOKFIELD, WI 53005-5909
(262) 641-8400
Mailing address
2188 S 98TH ST, WEST ALLIS, WI 53227-1441
(414) 339-7741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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