Wiersma, Rustan J

Wiersma, Rustan J is an individual health care provider with primary practice located at 191 Theatre Rd , Onalaska WI 54650-8679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wiersma, Rustan J can be contacted via phone (608) 392-5000.

Contact Information

Primary practice address
191 Theatre Rd Onalaska WI 54650-8679
Phone: (608) 392-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 23302 Wisconsin

Profile Details

NPI number 1417947540
LBN Legal business name Wiersma, Rustan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Apr 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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