Individual provider · Type 1 NPI

Amy Viola Petrie, PAC

Medical Physician Assistant · Niles, MI

NPI number 1649386319 Active

Practice location

2002 S 11th St
Niles, MI 49120-4074

Call (269) 687-0200 Map

Fax (269) 684-0199

Mailing address

6416 Deans Hill Rd
Berrien Center, MI 49102-9750

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X085002713 (IL)
Medical Physician Assistant Primary 363AM0700X5601006305 (MI)

Medical Physician Assistant: Definition to come...

31 other providers at this address

About NPI 1649386319

Amy Viola Petrie, PAC's National Provider Identifier is 1649386319, issued on Aug 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Niles, MI. The record was last updated on Mar 14, 2013.