| Dr Thomas John Petrou, MD | |
|
19725 Allen Rd, Bldg A Ste 1, Brownstown Twp, MI 48183-1090 | |
| (734) 479-7246 | |
| Not Available |
| Full Name | Dr Thomas John Petrou |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 19725 Allen Rd, Brownstown Twp, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033329651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301083640 (Michigan) | Primary |
| Entity Name | Northwestern Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | Detroit Anesthesia Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316212988 PECOS PAC ID: 3173789088 Enrollment ID: O20120723000043 |
| Entity Name | Novi Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598176919 PECOS PAC ID: 1557587847 Enrollment ID: O20140722002052 |
| Entity Name | Associated Surgical Center Of Dearborn Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1760770903 PECOS PAC ID: 6204149586 Enrollment ID: O20150715001365 |
| Entity Name | Motor City Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457058125 PECOS PAC ID: 3173962800 Enrollment ID: O20240415002192 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas John Petrou, MD 19725 Allen Rd, Bldg A Ste 1, Brownstown, MI 48183-1090 Ph: (734) 479-7246 | Dr Thomas John Petrou, MD 19725 Allen Rd, Bldg A Ste 1, Brownstown Twp, MI 48183-1090 Ph: (734) 479-7246 |
Dr. Patricia Ann Moesner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 19725 Allen Rd, Suite 102, Brownstown Twp, MI 48183 Phone: 734-479-7246 |