Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSTAN J WIERSMA, MD
ActiveRUSTAN J WIERSMA, MD is a Otolaryngology healthcare provider located in ONALASKA, Wisconsin. NPI 1417947540 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · ONALASKA, WI
Registration Details
- NPI Number
- 1417947540
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2005 (20.815144840611 yrs)
- Last Updated
- Apr 2, 2012
- License
-
23302 (WI)
Practice Information
- Address
-
191 THEATRE RDONALASKA, WI, 546508679Browse WI providers · Browse ZIP 54650
- Phone
- 6083925000
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in ONALASKA, WI
| Name | Credential | NPI |
|---|---|---|
| QUINTIN CAPPELLE | — | 1023307170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.