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Individual

VERONICA R PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-9461
(231) 733-8131
Mailing address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-9461
(231) 733-8131

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
055790
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2655118
MI
Enumeration date
04/05/2006
Last updated
07/08/2007
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