Individual
MITCHELL M. PITLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2808 SOUTH 80TH AVENUE, SUITE 210, OMAHA, NE 68124-3253
(402) 391-1800
(402) 391-1563
Mailing address
2808 SOUTH 80TH AVENUE, SUITE 210, OMAHA, NE 68124-3253
(402) 391-1800
(402) 391-1563
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35674
NE
207R00000X
Internal Medicine Physician
35674
NE
207R00000X
Internal Medicine Physician
64170
MN
Other
Enumeration date
03/26/2017
Last updated
03/28/2024
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