Individual
ALISON PETROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10215 BROADWAY, CROWN POINT, IN 46307-8001
(219) 661-6152
(219) 703-6833
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01054379
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721923
ANTHEM TRADITIONAL
IN
05
—
200345670
—
IN
Enumeration date
06/20/2005
Last updated
05/28/2024
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