Channing C Wiersema, MD

NPI #1457416166 in Plover, Wisconsin

Provider Information

NPI Number: 1457416166
Entity Type: Individual
Name: Channing C Wiersema, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 22, 2006
Last Updated: May 27, 2008

Practice Location

Address: 2401 PLOVER RD
City: Plover
State: Wisconsin
ZIP Code: 54467-3916
Phone: (715) 295-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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