Individual
MARY ELIZABETH PIETRANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1160 OAKWOOD LN, SAINT CLAIR, MI 48079-5286
(313) 720-3684
Mailing address
1160 OAKWOOD LN, SAINT CLAIR, MI 48079-5286
(313) 720-3684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301066082
MI
207ZF0201X
Forensic Pathology Physician
Primary
4301066082
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4209990
—
MI
Enumeration date
07/03/2006
Last updated
11/29/2021
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