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Individual

DR. ANDREW W PIERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1050681
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1004921
CHAMPUS
05
200232290
IN
01
390006173
RAILROAD MEDICARE
IN
01
392108
MEDICARE
KY
01
5099727
AETNA
01
601618
WELLCARE
KY
01
637060H
MEDICARE
IN
05
64003411
KY
01
86201
COVENTRY CARE
KY
Enumeration date
07/28/2005
Last updated
05/13/2015
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