Individual provider · Type 1 NPI
Howard Bruce Petusevsky, DPM
Primary Podiatric Medicine Podiatrist · Sunrise, FL
NPI number
1972678498
Active
Practice location
7769 NW 44th St
Sunrise, FL 33351-6203
Fax (954) 572-8335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | PO1813 (FL) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1972678498
Howard Bruce Petusevsky, DPM's National Provider Identifier is 1972678498, issued on Nov 21, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Sunrise, FL. The record was last updated on Jul 12, 2010.