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Individual

DR. KETSIA PIERRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
251155
MA
2085R0202X
Diagnostic Radiology Physician
Primary
4301510349
MI
2085R0202X
Diagnostic Radiology Physician
MD0000041532
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1523775
TN
05
7100258870
KY
Enumeration date
01/04/2007
Last updated
11/02/2023
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