Individual
DR. MARK PANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4460
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-4724
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301113987
MI
Other
Enumeration date
06/29/2015
Last updated
12/11/2019
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