Individual
JEFF PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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
75759-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43281400
—
WI
Enumeration date
10/19/2006
Last updated
04/28/2008
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