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Individual

DR. MARIA JEVITZ PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 E MICHIGAN AVE STE 145, LANSING, MI 48912-1897
(517) 364-5440
(517) 364-5409
Mailing address
B545 WEST FEE HALL, DEPARTMENT OF PEDIATRICS, EAST LANSING, MI 48824-1315
(517) 353-3100

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
4301404775
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1844326
MI
05
3117740
MI
Enumeration date
09/05/2006
Last updated
05/04/2010
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