Individual
JOSIP PETANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
101 W. LAKE ST, TAWAS CITY, MI 48763
(989) 362-8617
(989) 362-7309
Mailing address
PO BOX 60, 101 W LAKE ST, TAWAS CITY, MI 48764-0060
(989) 362-8617
(989) 362-7309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
JP0LI6930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2796045
—
MI
Enumeration date
07/24/2008
Last updated
02/18/2013
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