Organization
HOME CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PETRE MD (PRESIDENT)
(248) 909-9494
Entity
Organization
Contact information
Practice address
23999 NORTHWESTERN HWY, SUITE 110, SOUTHFIELD, MI 48075-2578
(248) 909-9494
Mailing address
23999 NORTHWESTERN HWY, SUITE 110, SOUTHFIELD, MI 48075-2578
(248) 909-9494
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/10/2009
Last updated
09/24/2010
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