Individual
MR. DANA PITCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
343 COLEBROOK DR, TROY, MI 48083-5002
(248) 762-1222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704273312
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704273312
MI
Other
Enumeration date
11/04/2013
Last updated
08/01/2014
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