Klaas J Wierenga in Jacksonville - Clinical Genetics (m.d.)
Klaas J Wierenga - NPI 1548363724
Klaas J Wierenga is a Clinical Genetics (m.d.) in Jacksonville, Florida. Klaas J Wierenga practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for Klaas J Wierenga is 1548363724. The last update date is 2020-08-28.
Klaas J Wierenga's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Klaas J Wierenga is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Klaas J Wierenga |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548363724 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2020-08-28 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Genetics (m.d.) |
|---|---|
| Taxonomy | 207Sg0201X |
| Licence No | 26999 |
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Definition: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
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What is the unique 10-digit identification code issued to Klaas J Wierenga by the Centers for Medicare & Medicaid Services?
The Klaas J Wierenga has been assigned the NPI (National Provider Identifier) 1548363724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Klaas J Wierenga?
The Klaas J Wierenga is physically situated at 4500 San Pablo Rd S, in the city of Jacksonville, state of FL, with the postal code 322241865.
What is Klaas J Wierenga's specialized field of practice, and what is the corresponding taxonomy classification code?
The Klaas J Wierenga's area of specialization is Clinical Genetics (m.d.), and the corresponding taxonomy code that categorizes this field of practice is 207Sg0201X.
On what date was the 1548363724 assigned to Klaas J Wierenga?
The Klaas J Wierenga was issued its 1548363724 on 2006-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Klaas J Wierenga last refreshed?
The information related to the Klaas J Wierenga, including its address, specialty, and other relevant details, was last updated on 2020-08-28.