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Individual
WILLIAM G. WIERDA
Active
Individual
WILLIAM G. WIERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L3873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143462301
—
TX
Enumeration date
10/02/2006
Last updated
07/05/2012
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