Michael Pauly Petrich in Dearborn - Diagnostic Radiology

Michael Pauly Petrich - NPI 1669664173

Michael Pauly Petrich is a Diagnostic Radiology in Dearborn, Michigan. Michael Pauly Petrich practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Michael Pauly Petrich is 1669664173. The last update date is 2007-08-17.

Michael Pauly Petrich's current location address is 18060 Snow Road, Dearborn, Michigan. You can contact this provider via phone number 3134362583 and fax number 3134362809. The mailing address for Michael Pauly Petrich is 18060 Snow Road, Dearborn, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Pauly Petrich
Address 18060 Snow Road, Dearborn, Michigan
Phone Number 3134362583
Fax Number 3134362809
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1669664173
Provider Enumeration Date 2007-08-17
Last Updated Date 2007-08-17

Provider Mailing Address Detail

Address 18060 Snow Road
City Dearborn
State Michigan (MI)
Post Code 48124
Phone Number 3134362583
Fax Number 3134362809

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 4301084289
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Michael Pauly Petrich

What is the Michael Pauly Petrich's unique identification number?

The Michael Pauly Petrich has been assigned the NPI (National Provider Identifier) Number 1669664173 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Michael Pauly Petrich?

The Michael Pauly Petrich is situated at 18060 Snow Road, in the city of Dearborn, state of MI, with the zip code 48124.

What is Michael Pauly Petrich's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Pauly Petrich is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date did the Michael Pauly Petrich receive its 1669664173 assignment from the Centers for Medicare & Medicaid Services?

The Michael Pauly Petrich was assigned its 1669664173 by the Centers for Medicare & Medicaid Services on 2007-08-17.

When was the information pertaining to Michael Pauly Petrich most recently updated or revised?

The details related to Michael Pauly Petrich, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-17.

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