Individual
DR. KATHRYN PITONE-LIPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8391 COMMERCE RD STE 110B, COMMERCE TWP, MI 48382-4489
(248) 716-3180
(947) 800-7270
Mailing address
42557 WOODWARD AVE, SUITE 130, BLOOMFIELD HILLS, MI 48304-5206
(248) 322-3088
(248) 322-4175
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
KP012470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4893235
—
MI
01
—
5472348
BCBS PIN
MI
01
—
MI4989370
MEDICARE GROUP PTAN ID
MI
Enumeration date
12/30/2005
Last updated
07/21/2022
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