Gregory N Wiersema in Fond Du Lac - Audiologist
Gregory N Wiersema - NPI 1831195361
Gregory N Wiersema is a Audiologist in Fond Du Lac, Wisconsin. Gregory N Wiersema practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Gregory N Wiersema is 1831195361. The last update date is 2007-07-08.
Gregory N Wiersema's current location address is 221 Fond Du Lac Ave, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209234678 and fax number 9209234678. The mailing address for Gregory N Wiersema is 221 Fond Du Lac Ave, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gregory N Wiersema |
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Address | 221 Fond Du Lac Ave, Fond Du Lac, Wisconsin |
Phone Number | 9209234678 |
Fax Number | 9209234678 |
Sole Proprietor | X |
Credentials | MST-CCC/A |
NPI Number Detail
NPI Number | 1831195361 |
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Provider Enumeration Date | 2005-06-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 221 Fond Du Lac Ave |
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City | Fond Du Lac |
State | Wisconsin (WI) |
Post Code | 5493553030 |
Phone Number | 9209234678 |
Fax Number | 9209234678 |
Provider's Primary Taxonomy Detail
Speciality | Audiologist |
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Taxonomy | 231H00000X |
Licence No | 55-156 |
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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41105900 | WI | -- |
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What is the unique 10-digit identifier code issued to Gregory N Wiersema by the Centers for Medicare & Medicaid Services?
The Gregory N Wiersema has been assigned the NPI (National Provider Identifier) 1831195361 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Gregory N Wiersema located?
The Gregory N Wiersema is located at 221 Fond Du Lac Ave, Fond Du Lac, WI 5493553030.
What is Gregory N Wiersema's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory N Wiersema is Audiologist, and the taxonomy classification code that categorizes this area of expertise is 231H00000X.
On what date did Gregory N Wiersema receive its 1831195361 assignment from the Centers for Medicare & Medicaid Services?
The Gregory N Wiersema was assigned its 1831195361 on 2005-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gregory N Wiersema's details last updated?
The information pertaining to the Gregory N Wiersema, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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