Individual
DAVID A WIERSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4701 TOWNE CENTRE RD STE 102, SAGINAW, MI 48604-2800
(989) 797-4610
(989) 797-4612
Mailing address
4701 TOWNE CENTRE RD STE 102, SAGINAW, MI 48604-2800
(989) 797-4610
(989) 797-4612
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DW012159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4247329 11
—
MI
Enumeration date
07/05/2006
Last updated
01/26/2016
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