Organization
PAUL PETRE MD PC
Active
Parent organization
PAUL PETRE MD PC
Other names
Great Lakes Portable Diagnostics
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL PETRE MD PC
Authorized official
PAUL PETRE MD (PRESIDENT)
(586) 573-6400
Entity
Organization
Contact information
Practice address
28800 RYAN RD, SUITE 300, WARREN, MI 48092-4272
(586) 573-6400
(586) 573-1918
Mailing address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 284-2316
(248) 583-8969
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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