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Individual

PETER JOHN LITTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 JOHN R RD, DETROIT, MI 48201-2013
(313) 745-8042
(313) 745-2314
Mailing address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914
(401) 432-2500
(248) 827-7663

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14797
RI
2085R0202X
Diagnostic Radiology Physician
4301050249
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700H261920
BCBS
MI
Enumeration date
09/27/2005
Last updated
10/27/2014
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