MARLENE LOUISE PETROVICH M.S.N.
NPI 1750404612
Nurse Practitioner - Women's Health in Brownstown Twp, MI

Active since April 07, 2007
23050 WEST RD, SUITE210, BROWNSTOWN TWP, MI 48183(734) 362-7000 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlene Louise Petrovich M.s.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENE LOUISE PETROVICH M.S.N. (NPI 1750404612) is an individual women's health provider in Brownstown Twp, Michigan, licensed in Michigan (4704100811) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1750404612
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMARLENE LOUISE PETROVICHCredential: M.S.N.
Location Address23050 WEST RD, SUITE210Brownstown Twp, MI 48183-1472
Mailing Address1640 Fort St, Suite D Attn DeniseTrenton, MI 48183-2040 · (734) 391-3057 · Fax (734) 391-3052
Sole ProprietorNo
Enumeration DateApril 7, 2007
Last NPPES UpdateFebruary 22, 2017
NPI 1750404612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in MI · 4704100811
23050 WEST RD, Brownstown Twp, MI 48183

Other Identifiers 3

Other1144634403Group Npi Henry Ford Wyandotte
Other0H28865MI · Blue Cross
Medicare PINQ24657077MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
23050 WEST RD, STE 240
BROWNSTOWN TWP, MI 48183
Pediatrics
23050 WEST RD, SUITE 110
BROWNSTOWN TWP, MI 48183
Family Medicine
23050 WEST RD, SUITE 260
BROWNSTOWN TWP, MI 48183
Pediatrics
23050 WEST RD, SUITE 110
BROWNSTOWN TWP, MI 48183
Physician Assistant
23050 WEST RD, SUITE 120
BROWNSTOWN TWP, MI 48183
Pharmacy (Community/Retail Pharmacy)
23050 WEST RD
BROWNSTOWN TWP, MI 48183
Internal Medicine
23050 WEST RD
BROWNSTOWN TWP, MI 48183
Dermatology
23050 WEST RD, STE 240
BROWNSTOWN TWP, MI 48183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlene Petrovich's NPI number?

The NPI number for Marlene Petrovich is 1750404612. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Marlene Petrovich located?

Marlene Petrovich practices at 23050 West Rd Suite210, Brownstown Twp, MI 48183. The listed phone number is (734) 362-7000.

What is Marlene Petrovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Marlene Petrovich was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.