Rustan J Wiersma in Onalaska - Otolaryngology
Rustan J Wiersma - NPI 1417947540
Rustan J Wiersma is a Otolaryngology in Onalaska, Wisconsin. Rustan J Wiersma practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Rustan J Wiersma is 1417947540. The last update date is 2012-04-02.
Rustan J Wiersma's current location address is 191 Theatre Rd, Onalaska, Wisconsin. You can contact this provider via phone number 6083925000. The mailing address for Rustan J Wiersma is 191 Theatre Rd, Onalaska, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rustan J Wiersma |
|---|---|
| Address | 191 Theatre Rd, Onalaska, Wisconsin |
| Phone Number | 6083925000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417947540 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2012-04-02 |
Provider Mailing Address Detail
| Address | 191 Theatre Rd |
|---|---|
| City | Onalaska |
| State | Wisconsin (WI) |
| Post Code | 546508679 |
| Phone Number | 6083925000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 23302 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique 10-digit identifier code issued to Rustan J Wiersma by the Centers for Medicare & Medicaid Services?
The Rustan J Wiersma has been assigned the NPI (National Provider Identifier) 1417947540 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Rustan J Wiersma?
The Rustan J Wiersma is physically situated at 191 Theatre Rd, in the city of Onalaska, state of WI, with the postal code 546508679.
What is Rustan J Wiersma's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rustan J Wiersma is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.
When was the Rustan J Wiersma's 1417947540 issued?
The Rustan J Wiersma's 1417947540 was issued on 2005-10-28.
When was the information related to Rustan J Wiersma most recently updated or refreshed?
The details pertaining to the Rustan J Wiersma, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-02.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY