Individual
MARIAN S PETRASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 312-2200
(605) 328-8429
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
5437
SD
207RC0000X
Cardiovascular Disease Physician
MD-35730
IA
207RI0011X
Interventional Cardiology Physician
Primary
5437
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6004810
—
SD
Enumeration date
06/16/2005
Last updated
04/11/2025
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