Paul Petre MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PAUL PETRE MD PC

Practice address

363 W Big Beaver Rd
Suite 200
Troy, MI 48084-5220

Phone

(586) 573-6400

Fax

(586) 576-1621

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul M Petre, MD

Title

President

Phone

(586) 573-6400

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1700076726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845220",
            "telephone_number": "586-573-6400",
            "fax_number": "586-576-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845220",
            "telephone_number": "586-573-6400",
            "fax_number": "586-576-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PETRE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "PETRE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-573-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella Maria Patrico, MSN, APRN, FNP-C
• Alexandra Marie Patterson Tichy, PT, DPT, SCS
• Colleen Patterson, SLP
• Eboni Patterson, CASE MANAGER
• Brianne Patton, PT
• Paula Denyes, Ma, LPC, LLC
• Sonia Mae Garcia Paulovich, NP-C
• Helen Clairese Paulsen
• Rikki Pautz, PA-C
• Anxhi Pavliqoti, PA

• General Practice Physician in Troy, MI
• Providers in Troy, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.