Individual
SETH WIERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 MAIN ST, GREEN BAY, WI 54301-4806
(920) 436-9382
Mailing address
930 MAIN ST, GREEN BAY, WI 54301-4806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18712
WI
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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