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1104514421
TIMOTHY PETRIE
MILWAUKEE, WI
NPI
1104514421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: WI 11022-24)
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
Mr. TIMOTHY PETRIE DPT
8700 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3595
Phone number: 414-805-8656
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Mailing Address
Mr. TIMOTHY PETRIE DPT
5136 N HOLLYWOOD AVE
WHITEFISH BAY, WI 53217-5650
Phone number: 262-617-5953
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