Individual
DR. MICHAEL PAULY PETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 436-2583
(313) 436-2809
Mailing address
18060 SNOW ROAD, DEARBORN, MI 48124
(313) 436-2583
(313) 436-2809
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301084289
MI
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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