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Individual
JOANNE WIERDA
Active
Individual
JOANNE WIERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
242696
NY
207R00000X
Internal Medicine Physician
D0070199
MD
207R00000X
Internal Medicine Physician
Primary
ME129851
FL
390200000X
Student in an Organized Health Care Education/Training Program
242696
NY
Other
Enumeration date
12/19/2007
Last updated
04/22/2019
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