Individual
DR. RITA JEAN PINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 718-5844
(336) 970-5298
Mailing address
7210 N MAIN ST, SUITE 211, CLARKSTON, MI 48346-1575
(248) 620-9199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301049902
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102389
GREAT LAKES HEALTH PLAN
MI
05
—
1734905
—
MI
05
—
1734923
—
MI
05
—
2618606
—
MI
01
—
300020943
RAILROAD MEDICARE
MI
05
—
5905806
—
NC
Enumeration date
09/22/2006
Last updated
03/01/2013
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