| Petrous General Solutions Inc | |
|
8300 Broadway Suite A1 Merrillville IN 46410-8602 | |
| (219) 750-9389 | |
| (219) 750-9681 |
| Full Name | Petrous General Solutions Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8300 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Olusoji Anthony Peter (PRESIDENT) |
| Authorized Official Contact | 2197509389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petrous General Solutions Inc 8300 Broadway Suite A1 Merrillville IN 46410-8602 Ph: (219) 750-9389 | Petrous General Solutions Inc 8300 Broadway Suite A1 Merrillville IN 46410-8602 Ph: (219) 750-9389 |
| NPI Number | 1598170631 |
|---|---|
| Provider Enumeration Date | 06/27/2014 |
| Last Update Date | 06/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598170631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01056426A (Indiana) | Primary |
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