Organization
JOSIP PETANI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIP PETANI MD (PRESIDENT)
(989) 362-8617
Entity
Organization
Contact information
Practice address
101 W LAKE ST, TAWAS CITY, MI 48763-0060
(989) 362-8617
(989) 362-7309
Mailing address
PO BOX 60, 101 W LAKE ST, TAWAS CITY, MI 48764-0060
(989) 362-8617
(989) 362-7309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
JP046930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2796045
—
MI
Enumeration date
08/04/2006
Last updated
04/03/2008
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