Individual
MICHAEL JAMES PETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4000
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-7833
(214) 648-6799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
498634
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
AP116620
TX
Other
Enumeration date
05/25/2006
Last updated
05/21/2025
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