Individual
MICHELLE A PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3559
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3559
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17118
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04574829
—
MS
Enumeration date
10/11/2005
Last updated
09/21/2017
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