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Organization

MICHAEL J PIERQUET DDS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL PIERQUET DDS (PRESIDENT)
(920) 434-4165
Entity
Organization

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
04/10/2007
Last updated
08/22/2020
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