Individual
TERRA RENEE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
65924
WI
204F00000X
Transplant Surgery Physician
C1-0027930
DE
208600000X
Surgery Physician
65924
WI
208600000X
Surgery Physician
C1-0027930
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730320912
—
WI
Enumeration date
03/17/2009
Last updated
03/26/2025
Update your record
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