Individual
MICHAEL CURTIS PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10506 MONTGOMERY RD STE 304, MONTGOMERY, OH 45242-4400
(513) 865-9959
Mailing address
3200 BURNET AVE, 3 SOUTH, CREDENTIALING, CINCINNATI, OH 45229-3019
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
23945
OK
208600000X
Surgery Physician
Primary
35-07-7757-P
OH
208600000X
Surgery Physician
MD2004-0360
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2946656
—
OH
Enumeration date
11/21/2005
Last updated
11/15/2021
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