| Doctor Name: | JOHN PETRASKY |
| NPI Number: | 1225177975 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., M.P.H. |
| License Number: | JP049321 |
| Business Practice Address: | 608 Jackson St Fredericksburg, VA - 224015719 |
| Business Phone Number: | 5408994797 |
| Business Fax Number: | |
| Mailing Address: | 608 Jackson St, FREDERICKSBURG |
| State: | VA |
| Postal Code: | 224015719 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | JP049321 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |