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Mark Petri
NPI 1649796368 · on the registry since 2017 · sole proprietor
Practice
- Address
- 49188 Frances Dr
Macomb, MI 48044 - Phone
- (586) 556-1468
Registry record
- Primary taxonomy
- 3336C0003X
3336C0003X
- Also registered as
- 183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-15
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