SearchMichigan363AM0700X

Amy Petrie, PAC

NPI 1649386319 · on the registry since 2006

Practice

Address
2002 S 11th St
Niles, MI 49120
Phone
(269) 687-0200
Fax
(269) 684-0199
Organisation at this address
Lakeland Medical Practices
Southwestern Medical Clinic Pc
Lakeland Community Hospital Watervliet
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363AM0700X
Licence states on file
IL, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-14

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 Michigan