Individual
DR. MICHELLE MARIE PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-3607
(619) 218-0034
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
390200000X
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
A100930
CA
Other
Enumeration date
05/11/2007
Last updated
06/06/2023
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