Individual
MICHAEL PIERQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2140 VELP AVE, GREEN BAY, WI 54303-6492
(920) 434-4165
Mailing address
2140 VELP AVE, GREEN BAY, WI 54303-6492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3537-015
WI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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