Petruska-Nordmann, Mary Joanna
Petruska-Nordmann, Mary Joanna is an individual health care provider with primary practice located at 300 1St Capitol Dr , Saint Charles MO 63301-2844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Petruska-Nordmann, Mary Joanna can be contacted via phone (636) 947-5000.Contact Information
Primary practice address
300 1St Capitol Dr
Saint Charles MO 63301-2844
Phone: (636) 947-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 111318 | Missouri |
Profile Details
| NPI number | 1386698512 |
|---|---|
| LBN Legal business name | Petruska-Nordmann, Mary Joanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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