| Amy Viola Petrie, PAC | |
|
2002 S 11th St, Niles, MI 49120-4074 | |
| (269) 687-0200 | |
| (269) 684-0199 |
| Full Name | Amy Viola Petrie |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2002 S 11th St, Niles, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649386319 | NPI | - | NPPES |
| 1649386319 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085002713 (Illinois) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5601006305 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Viola Petrie, PAC 6416 Deans Hill Rd, Berrien Center, MI 49102-9750 Ph: (269) 471-7741 | Amy Viola Petrie, PAC 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 687-0200 |
Ms. April Huggett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 61 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-684-6777 Fax: 269-684-6248 | |
Brandon Zwick, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1951 Oak St, Niles, MI 49120 Phone: 269-262-4749 |