Individual
MRS. HALLIE ELIZABETH WIERTZEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
460 N JEFFERSON ST, RICHLAND CENTER, WI 53581-1833
(608) 649-2705
Mailing address
460 N JEFFERSON ST, RICHLAND CENTER, WI 53581-1833
(608) 649-2705
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38267700
—
WI
Enumeration date
02/06/2007
Last updated
07/09/2007
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