Individual
MATTHEW WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1838 BALDWIN ST, JENISON, MI 49428-8901
(616) 301-1702
Mailing address
1813 W PARKS RD, SAINT JOHNS, MI 48879-9262
(989) 640-8281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401213
MI
Other
Enumeration date
10/23/2016
Last updated
07/21/2022
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