Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 4301100980 | MI |
Y | 208600000X | Surgeon | 4301100980 | MI |
NPI | 1013271436 |
---|---|
Provider Name | Debra Marie Pierce |
First Address | Lansing, MI 48912-1800 |
Second Address | Lansing, MI 48912-1800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2012 |
Last Update Date | 29/06/2012 |