Organization
PG ORTHOPAEDICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA GHERAIBEH MD (AUTHORIZED OFFICIAL)
(843) 536-2044
Entity
Organization
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(843) 536-2044
Mailing address
19541 RENFREW RD, DETROIT, MI 48221-1884
(843) 536-2044
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/08/2024
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