MRS. Destiny Grace Petrowich, PA-C

NPI #1063037711 in Marion, Illinois

Provider Information

NPI Number
1063037711
Entity Type
Individual
Name
MRS. Destiny Grace Petrowich, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 9, 2020
Last Updated
Sep 24, 2022

Practice Location

Address
1603 W KIMMEL ST
City
Marion
ZIP Code
62959-1008
Phone
(618) 993-2906

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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