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Contact Information

MARK E PETRIK, MD
13151 MAGISTERIAL DR
STE 200
LOUISVILLE, KY40223-4103
 Phone: 502-587-1236
 Fax: 502-587-0126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK E PETRIK · (Male)

NPI Number 1548261944
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 07/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 26506
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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