Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD60576996 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60576996 | WA |
NPI | 1104060490 |
---|---|
Provider Name | Dr. Wendy Mon-Gen Pierce |
First Address | Silverdale, WA 98383-8502 |
Second Address | Silverdale, WA 98383-7681 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2009 |
Last Update Date | 11/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2049538 | (05) | WA |