person
Mr. Michael Petrosky, MD
Plastic and Reconstructive Surgery Physician in Marietta, Georgia
NPI 1164416582

Michael Petrosky is a Plastic and Reconstructive Surgery Physician based in Marietta, GA and is specialized in Plastic and Reconstructive Surgery. Michael Petrosky practices in Marietta, GA and has the professional credentials of MD. The NPI Number for Michael Petrosky is 1164416582 and holds a License No. 030855 (Georgia).

The current practice location address for Michael Petrosky is 120 Vann St Ne, Marietta, GA and can be reached out via phone at 770-421-1242 and via fax at 770-424-6652.

Location: 120 Vann St Ne, Marietta, GA, 30060-7250
person
Provider Profile Details
NPI Number
1164416582
Provider Name
Michael Petrosky
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
120 Vann St Ne, Marietta, GA, 30060-7250
Phone Number
770-421-1242
Fax Number
770-424-6652
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24BCBBD 01 GA PROVIDER TRANSACTION ACCESS NUMBER-PTAN
institution
Provider Business Practice Location Address Details
Address
120 Vann St Ne
City
State
Zip
30060-7250
Phone Number
770-421-1242
Fax Number
770-424-6652
person
Provider Business Mailing Address Details
Address
120 Vann St Ne
City
State
Zip
30060-7250
Phone Number
770-421-1242
Fax Number
770-424-6652
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
030855 (Georgia)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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