Individual
BRYANT W PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 774-7444
Mailing address
2537 MOMENTUM PLACE, CHICAGO, IL 60689-5325
(616) 975-1845
(616) 285-0846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301038089
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301038089
MI
207Q00000X
Family Medicine Physician
4301038089
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930080725
RAILROAD MEDICARE
MI
Enumeration date
05/16/2006
Last updated
04/27/2012
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