Individual
DR. MICHAEL PETRACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HARDING RD, STE 450, NASHVILLE, TN 37205-6048
(615) 385-4781
(615) 383-4366
Mailing address
4230 HARDING RD, STE 450, NASHVILLE, TN 37205-6048
(615) 385-4781
(615) 383-4366
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD013206
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0995598
AETNA HMO
TN
01
—
2000298
BCBS OF TENNESSEE
TN
05
—
3009775
—
TN
01
—
3740031
UNITED HEALTHCARE
TN
01
—
3945508007
CIGNA PPO
TN
01
—
3945508008
CIGNA HMO
TN
01
—
4066885
AETNA PPO
TN
Enumeration date
06/01/2005
Last updated
05/04/2012
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