Individual provider · Type 1 NPI

Timothy Petrosky, PA

Physician Assistant · Novi, MI

NPI number 1609844208 Active

Practice location

26850 Providence Pkwy, Suite 260
Novi, MI 48374

Fax (248) 735-7276

Mailing address

61 Commerce Ave SW
Grand Rapids, MI 49503

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601003397 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609844208

Timothy Petrosky, PA's National Provider Identifier is 1609844208, issued on Mar 9, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Novi, MI. The record was last updated on Apr 21, 2009.