Park, Pierce C.

Park, Pierce C. is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 344, Marquette MI 49855-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Park, Pierce C. can be contacted via phone (906) 225-3910.

Contact Information

Primary practice address
1414 W Fair Ave Suite 344 Marquette MI 49855-2675
Phone: (906) 225-3910
Fax: (906) 225-4529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35-092802 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301103759 Michigan

Profile Details

NPI number 1477607638
LBN Legal business name Park, Pierce C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jun 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477607638 NPPES
Ohio MEDICAID 2949153

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