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Genevieve Petricka
NPI 1457892945 · on the registry since 2017 · sole proprietor
Practice
- Address
- 110105 Pioneer Trl
Suite 201
Chaska, MN 55318 - Phone
- (952) 512-2470
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota