Individual
DR. PIETER WIERSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8051 S EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-8653
Mailing address
8051 S EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-8653
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01030601A
IN
207ZD0900X
Dermatopathology (Pathology) Physician
01030601A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01030601A
IN
Other
Enumeration date
01/14/2008
Last updated
03/09/2020
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