John Petkac's National Provider Identifier (NPI) Details
John Petkac, MA
NPI: 1265432843
Enumeration Date: 2005-07-26
Last updated: 2007-11-07
Sole Proprietor: YES
Status: active
Postal Address: 4021 W 12TH ST, ERIE, PA
Phone: 814-882-3861
Primary Practice Address: 4021 W 12TH ST, ERIE, PA
Practice's phone: 814-882-3861