Individual
MAURITS J. WIERSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 636-4502
(252) 633-2785
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 635-3906
(252) 224-0378
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01039203A
IN
207RG0100X
Gastroenterology Physician
Primary
2018-01881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176630
—
IN
Enumeration date
06/12/2006
Last updated
02/15/2019
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