Organization
METRO INFECTIOUS DISEASE CONSULTANTS LLC
Active
Organization
METRO INFECTIOUS DISEASE CONSULTANTS LLC
Active
Other names
MIDC
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL M PETRAK MD (MANAGING PARTNER)
(888) 220-6432
Entity
Organization
Contact information
Practice address
7823 SPIVEY STATION BLVD STE 360, JONESBORO, GA 30236-2886
(770) 741-1750
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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