Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH LOUIS PETRUSEK, M.D., P.C.
Active Sole ProprietorDR. JOSEPH LOUIS PETRUSEK, M.D., P.C. is a Otolaryngology healthcare provider located in LA GRANDE, Oregon. NPI 1346297793 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · LA GRANDE, OR
Registration Details
- NPI Number
- 1346297793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2006 (20.228166798712 yrs)
- Last Updated
- Sep 24, 2020
- License
-
MD09444 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
710 SUNSET DRSTE. DLA GRANDE, OR, 978501200Browse OR providers · Browse ZIP 97850
- Phone
- 5419638643
- Fax
- 5419635845
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in LA GRANDE, OR
| Name | Credential | NPI |
|---|---|---|
| MR. GERRY F FUNK | MD | 1467443515 |
| STEVEN K PINTHER | D.O. | 1245612589 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.