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Individual
TERESA PIETRUS
Active
Individual
TERESA PIETRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP065998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301147 10
—
MI
Enumeration date
07/18/2006
Last updated
07/08/2007
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