Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | $$$$$$$$$ | MI |
NPI | 1790014686 |
---|---|
Provider Name | Mr. Kris A Pierce |
First Address | Flushing, MI 48433-2439 |
Second Address | Flushing, MI 48433-2439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2009 |
Last Update Date | 23/12/2009 |