Individual
BRIAN JAMES WIERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
201 THOMPSON LN, SUITE #103, NASHVILLE, TN 37211-2436
(615) 331-7040
Mailing address
525 W MAIN ST, LEBANON, TN 37087-3460
(615) 449-6700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001452
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2247015
AETNA - HMO
TN
01
—
3139529
BLUE CROSS BLUE SHIELD
TN
01
—
5915513
AETNA - NON HMO
TN
01
—
621805796
PHCS
TN
Enumeration date
01/30/2007
Last updated
06/05/2019
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