Individual
THOMAS WIERSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REEGT, CNIM, CLTM
Contact information
Practice address
24 S WEBER ST STE 200, COLORADO SPRINGS, CO 80903-1928
(319) 899-6385
Mailing address
305 GRANT AVENUE CIR, LISBON, IA 52253-9202
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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