Organization
SURGICAL SPECIALTY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN MICHAEL FIERCE DO (OWNER)
(563) 940-0537
Entity
Organization
Contact information
Practice address
870 36TH AVE, MOLINE, IL 61265-7159
(563) 940-0537
Mailing address
870 36TH AVE, MOLINE, IL 61265-7159
(563) 940-0537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.127839
—
IL
Enumeration date
06/23/2020
Last updated
06/23/2020
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