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Individual

MICHAEL PIETAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 TRENT DR, DUKE CLINIC 1L, DURHAM, NC 27710-3037
(919) 684-5870
(919) 684-0131
Mailing address
2616 ERWIN RD, APT 2228, DURHAM, NC 27705-3843
(734) 233-5267

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301097267
MI

Other

Enumeration date
07/12/2010
Last updated
06/20/2011
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