Individual
EVAN WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 RAILROAD ST, HULL, IA 51239-7413
(712) 439-2758
Mailing address
309 RAILROAD ST, HULL, IA 51239-7413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
074003
IA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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