Individual
BARRY DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11345 GREENVIEW DR, FENTON, MI 48430-2591
(810) 629-3766
Mailing address
11345 GREENVIEW DR, FENTON, MI 48430-2591
(810) 629-3766
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301035353
MI
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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