Individual
DR. MICHAEL B PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-052976
IL
208000000X
Pediatrics Physician
Primary
56404
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125-052976
ILLINOIS LICENSE NUMBER
IL
01
—
56404
MINNESOTA LICENSE NUMBER
MN
Enumeration date
08/11/2008
Last updated
06/04/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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