Individual
DR. DOUGLAS STEPHEN WIERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1261 W ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2407
(440) 526-7070
Mailing address
29885 SEQUOIA TRL, WESTLAKE, OH 44145-5153
(440) 376-1690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6168
OH
Other
Enumeration date
07/16/2012
Last updated
05/19/2023
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