| Doctor Name: | NOUNE PETROSIAN |
| NPI Number: | 1013003706 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 9885 |
| Business Practice Address: | 508 Tenth Street Worthington, MN - 561872343 |
| Business Phone Number: | 5073722921 |
| Business Fax Number: | 5073721815 |
| Mailing Address: | 508 Tenth Street, WORTHINGTON |
| State: | MN |
| Postal Code: | 561872343 |
| Phone Number: | 5073722921 |
| Fax Number: | 5073721815 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 04/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 9885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |