Michael Petrie
Student in an Organized Health Care Education/Training Program in Dayton, OH. Individual provider (NPI-1).
NPI number1669980975
StatusActive
Last updated in NPPESJan 21, 2018
Details
- NPI
- 1669980975
- Entity type
- Individual (NPI-1)
- Name
- Michael Petrie
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2018
- Last updated
- Jan 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
9 N Edwin C Moses BlvdDayton, OH 45402-8470
Phone 937-775-4300
Mailing address
117 Health Sciences Bldg 3640 Colonel Glenn HwyDayton, OH 45435-0001
Phone 937-775-3458 · Fax 937-775-3434
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All 660 Student in an Organized Health Care Education/Training Program providers in Dayton · All 15,314 providers in Dayton
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