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Individual

DR. DMITRIY PETROV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5333 MCAULEY DRIVE, SUITE 4001, YPSILANTI, MI 48197-8633
(734) 712-3980
Mailing address
2345 WOODRIDGE WAY, UNIT 2439 APT 1A, YPSILANTI, MI 48197-1404

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/23/2016
Last updated
06/23/2016
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