Organization
SPP MD PLLC
Active
Organization
SPP MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN PETROVAS MD (PHYSICIAN/OWNER)
(248) 676-8000
Entity
Organization
Contact information
Practice address
2450 WALTON BLVD, ROCHESTER HILLS, MI 48309-1481
(248) 453-0040
Mailing address
56193 HEATHROW DR, SHELBY TOWNSHIP, MI 48316-5507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301096579
STATE LICENSE
MI
Enumeration date
12/26/2019
Last updated
12/26/2019
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