Individual
DR. MICHAEL M. ITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 HOLCOMBE BLVD, MED VAMC PATHOLOGY, HOUSTON, TX 77030-4211
(713) 794-7874
Mailing address
2002 HOLCOMBE BLVD, MED VAMC PATHOLOGY, HOUSTON, TX 77030-4211
(713) 794-7874
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
K6016
TX
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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