Individual
MICHELLE A PETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1830 E MONUMENT ST STE 7500, BALTIMORE, MD 21287-0009
(410) 944-9114
(410) 614-0498
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 955-9114
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D33659
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403831200
—
MD
Enumeration date
06/20/2006
Last updated
02/20/2019
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