Individual
CAROL ADA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC, PORTAGE, WI 53901
(608) 742-4131
(608) 742-6098
Mailing address
PO BOX 387, DIVINE SAVIOR HEALTHCARE INC, PORTAGE, WI 53901-0387
(608) 742-4131
(608) 742-6098
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24244020
WI
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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