Individual
TERRY E PIETRYGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-3232
Mailing address
3570 SUNNINGDALE DR N, SAGINAW, MI 48604-9772
(810) 252-2194
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01060109A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35.085668
OH
2085R0202X
Diagnostic Radiology Physician
4301072096
MI
2085R0202X
Diagnostic Radiology Physician
435570
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354582
ANTHEM BCBS
OH
05
—
2535411
—
OH
05
—
4692907
—
MI
05
—
4692916
—
MI
05
—
4692952
—
MI
05
—
4692961
—
MI
01
—
P00191476
RAILROAD MEDICARE
OH
Enumeration date
03/14/2006
Last updated
10/09/2013
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