Individual
LISA WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5906
(616) 831-8643
(616) 949-8421
Mailing address
2320 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5906
(616) 831-8643
(616) 949-8421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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