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1053328658
MICHAEL PETRUSCHAK
CHESAPEAKE, VA
NPI
1053328658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA 0101237966)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
-- MICHAEL PETRUSCHAK M.D.
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320-4941
Phone number: 757-312-8121
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Mailing Address
-- MICHAEL PETRUSCHAK M.D.
PO BOX 1707
CHESAPEAKE, VA 23327-1707
Phone number: 757-366-0101
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