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Dr. Wayne Michael Pitre, MD
Specialist in Vicksburg, Mississippi
NPI 1023068350

Wayne Michael Pitre is a Specialist based in Vicksburg, MS. Wayne Michael Pitre practices in Vicksburg, MS and has the professional credentials of MD. The NPI Number for Wayne Michael Pitre is 1023068350 and holds a License No. 09371 (Mississippi).

The current practice location address for Wayne Michael Pitre is 1202 Mission Park Dr, Vicksburg, MS and can be reached out via phone at 601-636-6675 and via fax at 601-636-6677.

Location: 1202 Mission Park Dr, Vicksburg, MS, 39180-3758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023068350
Provider Name
Wayne Michael Pitre
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1202 Mission Park Dr, Vicksburg, MS, 39180-3758
Phone Number
601-636-6675
Fax Number
601-636-6677
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39325 01 MS LABC
09371 01 MS STATE ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1202 Mission Park Dr
City
Vicksburg
State
Mississippi
Zip
39180-3758
Phone Number
601-636-6675
Fax Number
601-636-6677
person
Provider Business Mailing Address Details
Address
1202 Mission Park Dr
City
Vicksburg
State
Mississippi
Zip
39180-3758
Phone Number
601-636-6675
Fax Number
601-636-6677
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
09371 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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