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Olivia Amanda Pierog, MD
Student in an Organized Health Care Education/Training Program in Baltimore, Maryland
NPI 1760976138

Olivia Amanda Pierog is a Student in an Organized Health Care Education/Training Program based in Baltimore, MD. Olivia Amanda Pierog practices in Baltimore, MD and has the professional credentials of MD. The NPI Number for Olivia Amanda Pierog is 1760976138 and holds a License No. 4301503007 (Maryland).

The current practice location address for Olivia Amanda Pierog is 600 N Wolfe St, Baltimore, MD and can be reached out via phone at 410-955-5080.

Location: 600 N Wolfe St, Baltimore, MD, 21220-2004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760976138
Provider Name
Olivia Amanda Pierog
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
600 N Wolfe St, Baltimore, MD, 21220-2004
Phone Number
410-955-5080
Fax Number
Provider Enumeration Date
06/19/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45-0817179 01 MI COMMERCIAL
institution
Provider Business Practice Location Address Details
Address
600 N Wolfe St
City
Baltimore
State
Maryland
Zip
21264-3752
Phone Number
410-955-5080
Fax Number
person
Provider Business Mailing Address Details
Address
600 N Wolfe St
City
Baltimore
State
Maryland
Zip
21264-3752
Phone Number
410-955-5080
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Maryland)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301503007 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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