NPI 1679561948 · live from the CMS NPI Registry
Michelle A Petro, MD
Internal Medicine, Gastroenterology in Flowood, MS. National Provider Identifier 1679561948, active.
NPI record
| NPI | 1679561948 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 2510 Lakeland Dr, Flowood, MS 39232 |
| Practice phone | 601-355-1234 |
| Enumerated | October 11, 2005 |
| Last updated | September 21, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 17118 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.