MEDICARE: MICHAEL J 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
1	111N00000X	Chiropractor	5995	CO

General Provider Information

NPI Number	:	1396082566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J PIERCE D.C.

Provider Business Mailing Address
First Line	:	3472 RESEARCH PKWY
Second Line	:	SUITE: 104
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1066
Country	:	US
Telephone Number	:	719-351-1604
Fax Number	:

Provider Business Practice Location Address
First Line	:	3472 RESEARCH PKWY
Second Line	:	SUITE: 104
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1066
Country	:	US
Telephone Number	:	719-351-1604
Fax Number	:

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

Provider Enumeration Date	:	01/08/2013
Last Update Date	:	01/08/2013

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