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Individual

DANIEL PETTIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4350 JACKSON RD STE 200, ANN ARBOR, MI 48103-1889
(734) 761-2581
(734) 761-9540
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02003818A
IN
207Q00000X
Family Medicine Physician
Primary
5101024423
MI

Other

Enumeration date
05/14/2009
Last updated
08/27/2019
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