Wayne Michael Pitre M.D.

NPI 1023068350 - Specialist - 174400000X

NPI Details
NPI 1023068350
Gender Male
Enumeration Date 05/10/2006
Last Updated 11/29/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1202 MISSION PARK DR
VICKSBURG MS, 39180-3758, US
Phone (601) 636-6675
Fax (601) 636-6677
Business Location
1202 MISSION PARK DR
VICKSBURG MS, 39180-3758, US
Phone (601) 636-6675
Fax
Toxanomy
Taxonomy Code 174400000X
License State Louisiana
License Number MD.013940
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According to our database, Dr. Wayne Michael Pitre M.D. NPI is 1023068350, taxonomy code is 174400000X and license number is MD.013940, license state is located at Louisiana. Wayne Michael Pitre M.D. physically located at 1202 Mission Park Dr, Vicksburg MS, 39180-3758. NPI Number Wayne Michael Pitre M.D. has the Individual type.

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1023068350 NPI number is provided on an as is basis without warranty of any kind. 1023068350 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Michael Pitre M.D. are for informational purposes only.