Individual
CRAIG O PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
968-023
WI
363AM0700X
Medical Physician Assistant
968-023
WI
363AS0400X
Surgical Physician Assistant
Primary
968-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42983000
—
WI
01
—
60273
DEAN HEALTH INSURANCE
WI
Enumeration date
05/06/2006
Last updated
07/13/2026
Update your record
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