Individual
DR. NATHAN MICHAEL FIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
870 36TH AVE, MOLINE, IL 61265-7159
(309) 281-6400
(309) 281-6409
Mailing address
870 36TH AVE, MOLINE, IL 61265-7159
(309) 281-6400
(309) 281-6409
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.127839
IL
208600000X
Surgery Physician
4206
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639355134
—
IA
01
—
P01066005
RR MEDICARE
IA
01
—
P01170092
RR MEDICARE
IL
Enumeration date
01/14/2008
Last updated
07/06/2022
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