Individual
DR. NICOLAS JOSEPH PIETRANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19212 N SHORE DR, SPRING LAKE, MI 49456-9109
(616) 842-6813
Mailing address
19212 N SHORE DR, SPRING LAKE, MI 49456-9109
(616) 842-6813
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101006774
MI
208D00000X
General Practice Physician
Primary
5101006774
MI
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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