Individual
DR. MICHAEL PETROUNEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
122 COLE RD, MONROE, MI 48162-4104
(734) 242-3311
(734) 242-6482
Mailing address
122 COLE RD, MONROE, MI 48162-4104
(734) 242-3311
(734) 242-6482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4163944
—
MI
Enumeration date
12/26/2006
Last updated
07/09/2007
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