Individual
DR. HENRI M. PIERRE-JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2070 BIDDLE AVE, SUITE 200, WYANDOTTE, MI 48192-4080
(734) 225-9100
(734) 225-9176
Mailing address
1640 FORT ST, SUITE D ATTN DENISE, TRENTON, MI 48183-2040
(734) 391-3057
(734) 391-3052
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
HP067755
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
4301067755
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28427
BLUE CROSS
MI
05
—
103262750
—
MI
01
—
1699102244
GROUP NPI HENRY FORD WYANDOTTE
—
Enumeration date
01/30/2006
Last updated
02/22/2017
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