Individual
DR. DOUGLAS MICHAEL PIERNICK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20030 MACK AVE, GROSSE POINTE WOODS, MI 48236-2323
(313) 884-3380
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3875
(313) 343-7840
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3401105765
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301105765
MI
Other
Enumeration date
08/14/2014
Last updated
05/11/2022
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