Individual
DR. RICHARD ALLEN PITTSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 E LANSING DR, SUITE 107, EAST LANSING, MI 48823-7787
(517) 351-8881
(517) 351-8883
Mailing address
1401 E LANSING DR, SUITE 107, EAST LANSING, MI 48823-7787
(517) 351-8881
(517) 351-8883
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
RP040011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103378991
BLUE CROSS
MI
05
—
1623639
—
MI
01
—
3200541
PHYSICIAN'S HEALTH PLAN
MI
Enumeration date
07/13/2006
Last updated
07/08/2007
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