Individual
DAVID M BIERWAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3229 E GENESEE ST, SYRACUSE, NY 13214-2016
(315) 446-7501
Mailing address
6204 TURNWOOD DR, JAMESVILLE, NY 13078-9703
(315) 446-2511
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
005052-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00578405
—
NY
Enumeration date
01/08/2007
Last updated
07/08/2007
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