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Individual

TRAVIS J PETREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 418-8000
Mailing address
2305 37TH AVE SW, MINOT, ND 58701-7669

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
18008C
WY
2085R0202X
Diagnostic Radiology Physician
22126
ND
2085R0202X
Diagnostic Radiology Physician
Primary
35893
IA
2085R0202X
Diagnostic Radiology Physician
M-2488
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47078557578
NE
Enumeration date
05/10/2006
Last updated
11/12/2025
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