Individual
MRS. MARY ELIZABETH PETRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. L. D.
Contact information
Practice address
601 S OSAGE, CALDWELL, KS 67022-1654
(620) 845-6492
(620) 845-6475
Mailing address
1007 W 160TH ST S, CALDWELL, KS 67022-8601
(620) 845-2984
(620) 845-2986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
280
KS
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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