Individual
MICHAEL PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(877) 229-0273
(920) 288-4863
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34550-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000745170
—
WI
05
—
1295723948
—
WI
Enumeration date
10/07/2005
Last updated
07/27/2023
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