Individual
MR. NORMAN GEORGE PETROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
(734) 287-1660
Mailing address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
(734) 287-1660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6301002963
MI
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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