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1609844208
TIMOTHY PETROSKY
NOVI, MI
NPI
1609844208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003397)
Enumeration Date
2006-03-09
Last Update Date
2009-04-21
Business Address
-- TIMOTHY PETROSKY PA
26850 PROVIDENCE PKWY SUITE 260
NOVI, MI 48374
Phone number: 248-735-8272
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Mailing Address
-- TIMOTHY PETROSKY PA
61 COMMERCE AVE SW
GRAND RAPIDS, MI 49503
Phone number: 616-940-0660
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