Individual
DR. MATTHEW JOSEPH WIERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
920 W WALTANN LN, PHOENIX, AZ 85023-4465
(602) 710-0568
Mailing address
920 W WALTANN LN, PHOENIX, AZ 85023-4465
(602) 710-0568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024209
AZ
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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