Individual
DR. MICHAEL STEPHEN PETTERUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
234 CHAPLIN DR, COVENTRY, RI 02816
(401) 392-3351
(401) 392-3051
Mailing address
234 CHAPLIN DR, COVENTRY, RI 02816
(401) 392-3351
(401) 392-3051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00383
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21331430
AETNA
RI
01
—
2822-8
BLUE CROSS
RI
01
—
404806
BLUE CHIP
RI
01
—
6152953
CIGNA
RI
Enumeration date
05/24/2006
Last updated
07/08/2007
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