Individual
DR. KLAAS J WIERENGA
Active
Individual
DR. KLAAS J WIERENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
26999
OK
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
ME137139
FL
207SG0202X
Clinical Biochemical Genetics Physician
ME137139
FL
208000000X
Pediatrics Physician
ME137139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100537900
—
FL
Enumeration date
09/06/2006
Last updated
10/08/2024
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