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Individual
ANNE M PETRE
Active
Individual
ANNE M PETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-091695
IL
207Q00000X
Family Medicine Physician
Primary
036091695
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020355
HEALTH ALLIANCE
—
05
—
036091695
—
IL
01
—
20083
IOWA HEALTH SOLUTIONS
—
01
—
4796890020
DMERC
—
01
—
90800
WELLMARK BC/BS
—
01
—
IL01F1
JOHN DEERE
—
Enumeration date
06/23/2005
Last updated
09/04/2015
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