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Individual

DR. JAMES PETER PITLOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
803 10TH AVE, SUITE A, PORT HURON, MI 48060-3676
(810) 985-7996
Mailing address
803 10TH AVENUE, SUITE A, PORT HURON, MI 48060
(810) 985-7996

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001088
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2125499
MI
Enumeration date
02/27/2007
Last updated
11/15/2011
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