Individual
DR. MARK PETROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20224 FARMINGTON RD, LIVONIA, MI 48152
(248) 442-0005
(248) 442-8843
Mailing address
20224 FARMINGTON RD, LIVONIA, MI 48152-1412
(248) 442-0005
(248) 442-8843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301056981
MI
Other
Enumeration date
01/30/2007
Last updated
07/13/2018
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