Individual
DR. TAMMY ANN PIERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 745-5518
(608) 742-4087
Mailing address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 745-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41555-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34606000
—
WI
01
—
842640019
MEDICARE
WI
Enumeration date
08/19/2006
Last updated
01/15/2013
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