Individual
DR. WILLIAM R PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD TPA
Contact information
Practice address
8201 MISHKOSEN DR, FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER, CRANDON, WI 54520
(715) 478-4300
(715) 478-4490
Mailing address
PO BOX 396, CRANDON, WI 54520-0396
(715) 478-4300
(715) 478-4490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1897035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38523300
—
WI
01
—
72023
SECURITY HEALTH PLAN
WI
Enumeration date
08/04/2006
Last updated
12/10/2020
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