Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK E PETRIK, MD
ActiveDR. MARK E PETRIK, MD is a Sports Medicine (Orthopaedic) healthcare provider located in LOUISVILLE, Kentucky. NPI 1548261944 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · LOUISVILLE, KY
Registration Details
- NPI Number
- 1548261944
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (21.059259448913 yrs)
- Last Updated
- Jul 2, 2010
- License
-
26506 (KY)
Practice Information
- Address
-
13151 MAGISTERIAL DRSTE 200LOUISVILLE, KY, 402234103Browse KY providers · Browse ZIP 40223
- Phone
- 5025871236
- Fax
- 5025870126
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
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.