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Dr. JOSEPH LOUIS PETRUSEK M.D., P.C.

Individual Provider (NPI-1) Active

Otolaryngology

Provider Information

NPI Number
1346297793
Provider Type
Individual Provider (NPI-1)
Credentials
M.D., P.C.
Status
Active

Contact & Location

Address
710 SUNSET DR STE. D, LA GRANDE, OR, 978501200
Phone
(541) 963-8643
Fax
(541) 963-5845

Specialties & Taxonomies

Otolaryngology Primary License: OR #MD09444

All Addresses

MAILING

PO BOX 1123

LA GRANDE, OR, 978506123

(541) 963-8643

LOCATION

710 SUNSET DR STE. D

LA GRANDE, OR, 978501200

(541) 963-8643