Individual
CHERYL-LYNN M PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
878 W AIRPORT RD, MENASHA, WI 54952-1461
(920) 727-5982
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40889
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32540300
—
WI
Enumeration date
09/13/2005
Last updated
02/18/2017
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