Individual
CODY PETROWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 SUMMIT DR, FAIRMONT, MN 56031-2247
(507) 235-6606
Mailing address
610 SUMMIT DR, FAIRMONT, MN 56031-2247
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13790
MN
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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