Individual
DR. HENRYK CZESLAW PIETRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6940 DIXIE HWY, BRIDGEPORT, MI 48722-9760
(989) 746-0933
(989) 746-5070
Mailing address
6940 DIXIE HWY, BRIDGEPORT, MI 48722-9760
(989) 746-0933
(989) 746-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HP 065997
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301156
—
MI
Enumeration date
07/09/2006
Last updated
11/20/2009
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