Individual
RYAN ANTHONY WIERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1576 ROSEWOOD ST, JENISON, MI 49428-8163
(616) 212-8626
Mailing address
1576 ROSEWOOD ST, JENISON, MI 49428-8163
(616) 212-8626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704247199
MI
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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