Seth Wiersma

NPI #1033730742 in Green Bay, Wisconsin

Provider Information

NPI Number: 1033730742
Entity Type: Individual
Name: Seth Wiersma
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 4, 2020
Last Updated: May 4, 2020

Practice Location

Address: 930 MAIN ST
City: Green Bay
State: Wisconsin
ZIP Code: 54301-4806
Phone: (920) 436-9382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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