Individual
CARLOS PETROZZI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301036957
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102511941
BLUE CROSS BLUE SHIELD
MI
01
—
110B56125
COMMUNITY BLUE PPO
MI
05
—
3196950
—
MI
Enumeration date
01/23/2006
Last updated
07/08/2007
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