Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT M WIERSEMA, D.O.
ActiveDR. BRENT M WIERSEMA, D.O. is a Orthopaedic Trauma healthcare provider located in TRAVERSE CITY, Michigan. NPI 1790709632 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Trauma · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1790709632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.070502196561 yrs)
- Last Updated
- Dec 31, 2020
- License
-
5101014182 (MI)
Practice Information
- Address
-
4045 W ROYAL DRTRAVERSE CITY, MI, 496848965Browse MI providers · Browse ZIP 49684
- Phone
- 2319350900
- Fax
- 2309350308
- Primary Specialty
-
Orthopaedic Trauma
207XX0801X
Other Orthopaedic Trauma Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| DR. BAILEY S GROSECLOSE II | M.D. | 1730103680 |
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.