Petrasko, Marian S

Petrasko, Marian S is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Petrasko, Marian S can be contacted via phone (605) 328-2929.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105-0401
Phone: (605) 328-2929
Fax: (605) 328-8429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5437 South Dakota
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 5437 South Dakota

Profile Details

NPI number 1881699965
LBN Legal business name Petrasko, Marian S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881699965 NPPES
South Dakota MEDICAID 6004810

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