MEDICARE: CHRISTOPHER PIERSON MD PHD

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
1	207ZN0500X	Neuropathology Physician	213126	MA
2	207ZP0213X	Pediatric Pathology Physician	35.089678	OH

General Provider Information

NPI Number	:	1639120777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER PIERSON MD PHD

Provider Business Mailing Address
First Line	:	DEPT 781676
Second Line	:	PO BOX 78000
City	:	DETROIT
State	:	MI
Zip	:	48278-1676
Country	:	US
Telephone Number	:	614-722-5315
Fax Number	:	614-722-3033

Provider Business Practice Location Address
First Line	:	700 CHILDRENS DR
Second Line	:	NATIONWIDE CHILDRENS HOSPITAL
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2664
Country	:	US
Telephone Number	:	614-722-5315
Fax Number	:	614-722-3033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	01/21/2015

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Directions to “ CHRISTOPHER PIERSON MD PHD” Practice Location

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