Provider Demographics
NPI:1659545051
Name:PIERRE, DANIEL JOHN (MD, MA)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOHN
Last Name:PIERRE
Suffix:
Gender:M
Credentials:MD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7001 S EDGERTON RD
Mailing Address - Street 2:# 2
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4206
Mailing Address - Country:US
Mailing Address - Phone:440-526-1974
Mailing Address - Fax:440-740-0662
Practice Address - Street 1:7001 S EDGERTON RD
Practice Address - Street 2:# 2
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-4206
Practice Address - Country:US
Practice Address - Phone:440-526-1974
Practice Address - Fax:440-740-0662
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.098592207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0066102Medicaid