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1144334665
MICHAEL PETTIS
OMAHA, NE
NPI
1144334665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NE 18239)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL PETTIS MD
7500 MERCY RD
OMAHA, NE 68124
Phone number: 402-343-8760
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Mailing Address
Dr. MICHAEL PETTIS MD
7710 MERCY RD SUITE 424
OMAHA, NE 68124
Phone number: 402-343-8760
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