Individual
MIRIAM DOLORES PELLERITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3346 LENNON ROAD, REGIONAL MEDICAL IMAGING, FLINT, MI 48507-1015
(810) 732-1919
(810) 732-1945
Mailing address
3346 LENNON ROAD, SUITE 2 REGIONAL MEDICAL IMAGING, FLINT, MI 48507-1015
(810) 732-1919
(810) 732-3740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301055194
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34995800
—
WI
Enumeration date
07/19/2006
Last updated
01/09/2018
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