Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROSS E. PETTIT, MD
Active Sole ProprietorDR. ROSS E. PETTIT, MD is a Neurology with Special Qualifications in Child Neurology healthcare provider located in BEMIDJI, Minnesota. NPI 1942371752 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · BEMIDJI, MN
Registration Details
- NPI Number
- 1942371752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2006 (19.796675481834 yrs)
- Last Updated
- Nov 18, 2011
- Licenses
-
4231 (ND)51426 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1233 34TH ST NWBEMIDJI, MN, 566015112Browse MN providers · Browse ZIP 56601
- Phone
- 2183334968
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.