Individual
DR. MICHELLE PETROVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, TOWER 711, BALTIMORE, MD 21287-0005
(410) 955-8465
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0065725
MD
207L00000X
Anesthesiology Physician
ME103912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002672700
—
FL
05
—
013880100
—
MD
Enumeration date
02/04/2007
Last updated
06/19/2013
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