Individual
MICHAEL A DIPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E. MEDICAL CENTER DR, 3RD FLOOR RECP. A ROOM 3660A, C.S. MOTT CHILDREN'S HOSPITAL, ANN ARBOR, MI 48109-4252
(734) 936-4500
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301044848
MI
2085P0229X
Pediatric Radiology Physician
Primary
4301044848
MI
2085R0202X
Diagnostic Radiology Physician
4301044848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407554
—
MI
Enumeration date
10/16/2006
Last updated
05/31/2012
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