Organization
JEFFREY D PIERCE
Active
Other names
SOUTHWEST ANESTHESIA SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF D PIERCE CRNA (OWNER)
(888) 443-9902
Entity
Organization
Contact information
Practice address
800 COMPASSION WAY, DODGEVILLE, WI 53533-1956
(608) 935-2711
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39754747701
UNITY HEALTH PLAN
WI
05
—
43419200
—
WI
Enumeration date
10/19/2006
Last updated
04/20/2008
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