Individual
MR. MICHAEL JAMES PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.O.
Contact information
Practice address
3308 S MAIN ST, AKRON, OH 44319-3027
(330) 352-3212
(330) 352-3212
Mailing address
3308 S MAIN ST, AKRON, OH 44319-3027
(330) 408-9055
(330) 968-0514
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S.5057
OH
Other
Enumeration date
06/02/2011
Last updated
12/03/2011
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