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Individual
DR. CARL PETRI
Active
Individual
DR. CARL PETRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0420007280
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002513
—
VT
Enumeration date
05/17/2006
Last updated
06/09/2008
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