Individual
MARY JO PITERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC NP
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4698
Mailing address
28390 TIMOTHY RD, CHESTERFIELD, MI 48047-4864
(586) 949-3958
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704106983
MI
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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