Pettit, Patricia Mary

Pettit, Patricia Mary is an individual health care provider with primary practice located at 6565 France Ave S Suite 200, Edina MN 55435-2137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Pettit, Patricia Mary can be contacted via phone (952) 806-0011.

Contact Information

Primary practice address
6565 France Ave S Suite 200 Edina MN 55435-2137
Phone: (952) 806-0011
Fax: (952) 806-9741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 39185 Minnesota

Profile Details

NPI number 1922002658
LBN Legal business name Pettit, Patricia Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Apr 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922002658 NPPES
Minnesota MEDICAID 288522100

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