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Individual
DR. MICHAEL STEPHEN PETTERUTO
Active
Individual
DR. MICHAEL STEPHEN PETTERUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00383
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21331430
AETNA
RI
01
—
2822-8
BLUE CROSS
RI
01
—
404806
BLUE CHIP
RI
01
—
6152953
CIGNA
RI
Enumeration date
05/24/2006
Last updated
07/08/2007
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