Dipietro, Michael A

Dipietro, Michael A is an individual health care provider with primary practice located at 1500 E. Medical Center Dr, 3Rd Floor Recp. A Room 3660A C.S. Mott Children'S Hospital, Ann Arbor MI 48109-4252. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Dipietro, Michael A can be contacted via phone (734) 936-4500.

Contact Information

Primary practice address
1500 E. Medical Center Dr, 3Rd Floor Recp. A Room 3660A C.S. Mott Children'S Hospital Ann Arbor MI 48109-4252
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301044848 Michigan
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 4301044848 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301044848 Michigan

Profile Details

NPI number 1720168610
LBN Legal business name Dipietro, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated May 31st, 2012 - about 12 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 1720168610 NPPES
Michigan MEDICAID 1407554

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