Individual
DR. DAVID L WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1340
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006757
KAISER-COMMERCIAL NUMBER
—
05
—
80650091
—
CO
Enumeration date
02/16/2007
Last updated
05/18/2021
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