Rustan J Wiersma, MD

NPI #1417947540 in Onalaska, Wisconsin

Provider Information

NPI Number: 1417947540
Entity Type: Individual
Name: Rustan J Wiersma, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Oct 28, 2005
Last Updated: Apr 2, 2012

Practice Location

Address: 191 THEATRE RD
City: Onalaska
State: Wisconsin
ZIP Code: 54650-8679
Phone: (608) 392-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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