Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle A Petak

Individual provider Case Manager/Care Coordinator · NPI 1104484179

Michelle A Petak is a Case Manager/Care Coordinator in Niles, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

165 E Park Ave
Niles, OH 44446-2352
Phone: (330) 544-8005
Fax: (330) 544-9379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1104484179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 4, 2019
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address1707 Roberts Ln Ne, Warren, OH 44483-3621

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