Pietrangelo, Mary Elizabeth

Pietrangelo, Mary Elizabeth is an individual health care provider with primary practice located at 1160 Oakwood Ln , Saint Clair MI 48079-5286. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Forensic Pathology. Allopathic & Osteopathic Physicians / Forensic Pathology is her primary health care specialty. Pietrangelo, Mary Elizabeth can be contacted via phone (313) 720-3684.

Contact Information

Primary practice address
1160 Oakwood Ln Saint Clair MI 48079-5286
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301066082 Michigan
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 4301066082 Michigan

Profile Details

NPI number 1477583946
LBN Legal business name Pietrangelo, Mary Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477583946 NPPES
Michigan MEDICAID 4209990

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