Individual
DONNA M PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801
Mailing address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8890
MN
363A00000X
Physician Assistant
Primary
906
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002056125
MEDICARE #
WI
05
—
42971400
—
WI
Enumeration date
02/02/2006
Last updated
05/01/2009
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