Individual
DR. VINTON DOUGLAS PIERCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8100 W 78TH ST STE 230, EDINA, MN 55439-2570
(952) 946-9777
Mailing address
8100 W 78TH ST STE 230, EDINA, MN 55439-2570
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
21582
TN
207X00000X
Orthopaedic Surgery Physician
Primary
63023
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145039
BCBS
TN
05
—
3061138
—
TN
Enumeration date
02/02/2006
Last updated
12/04/2017
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