MEDICARE: JOSEPH ANTHONY PETRONIO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	4301506087	MI

General Provider Information

NPI Number	:	1427138429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH ANTHONY PETRONIO MD

Provider Business Mailing Address
First Line	:	100 MICHIGAN ST NE # MC845
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2560
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 MICHIGAN ST NE STE 3003
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2528
Country	:	US
Telephone Number	:	616-267-2570
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/06/2022

Similar Medicare Providers

1699185280 — DR. RACHEL BASS DO
Practice Location Address:

35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI
49503-2528

Practice Phone: 616-267-2500
Practice Fax:

1942267505 — DR. ROBERT ALAN SCHOUMACHER MD
Practice Location Address:

35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI
49503-2528

Practice Phone: 616-267-2200
Practice Fax:

1417994997 — ANDOLA CHAMBERLAIN MATHIS M.D.
Practice Location Address:

21 MICHIGAN ST NE , SUITE 660
GRAND RAPIDS, MI
49503-2528

Practice Phone: 616-451-2993
Practice Fax: 616-451-4393

1992711402 — ANDOLA C MATHIS MD PC
Practice Location Address:

21 MICHIGAN ST NE , SUITE 660
GRAND RAPIDS, MI
49503-2528

Practice Phone: 616-451-2993
Practice Fax: 616-451-4393

1821103441 — ALLISON ANNE BANNICK NP
Practice Location Address:

35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI
49503-2528

Practice Phone: 616-486-9830
Practice Fax:

1144337882 — JULIE ANN MILLER NP
Practice Location Address:

35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI
49503-2528

Practice Phone: 616-267-2570
Practice Fax:

Directions to “ JOSEPH ANTHONY PETRONIO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.