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NPI Code Detail

MEDICARE: DR. DOUGLAS EARL PIERCE D. C.

MEDICARE:  DR. DOUGLAS EARL PIERCE  D. C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301005317MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2OD95151880OTHERMIBCBSM
311285926OTHERMICAQH

General Provider Information

NPI Number : 1407826555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS EARL PIERCE D. C.
Provider Business Mailing Address
First Line : 1394 DAIRY LN NE
Second Line :
City : CEDAR SPRINGS
State : MI
Zip : 49319-8131
Country : US
Telephone Number : 616-696-6144
Fax Number : 616-696-6144
Provider Business Practice Location Address
First Line : 1394 DAIRY LN NE
Second Line :
City : CEDAR SPRINGS
State : MI
Zip : 49319-8131
Country : US
Telephone Number : 616-696-6144
Fax Number : 616-696-6144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/29/2008

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Directions to “ DR. DOUGLAS EARL PIERCE D. C.” Practice Location

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