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Individual

ERIC PITTELKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 E MICHIGAN AVE, LANSING, MI 48912
(517) 364-5388
Mailing address
1200 E MICHIGAN AVE, LANSING, MI 48912-1800
(517) 364-5388

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
12706106-1205
UT
208200000X
Plastic Surgery Physician
Primary
4301509078
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
11018869A
IN

Other

Enumeration date
05/04/2016
Last updated
08/08/2023
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