Individual
DR. PATRICK THUL PETTENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0575
(248) 898-4671
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301076150
MI
207P00000X
Emergency Medicine Physician
ME0089037
FL
Other
Enumeration date
09/08/2005
Last updated
08/22/2025
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