Individual
DR. JOHN WIERDSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
668 W SACKETT AVE, SALIDA, CO 81201-1661
(540) 353-2916
Mailing address
668 W SACKETT AVE, SALIDA, CO 81201-1661
(540) 353-2916
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018199
MI
Other
Enumeration date
06/25/2007
Last updated
04/05/2021
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