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1790709632
BRENT M WIERSEMA
TRAVERSE CITY, MI
NPI
1790709632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
(Licence: MI 5101014182)
Enumeration Date
2006-07-26
Last Update Date
2020-12-31
Business Address
Dr. BRENT M WIERSEMA D.O.
4045 W ROYAL DR
TRAVERSE CITY, MI 49684-8965
Phone number: 231-935-0900
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Mailing Address
Dr. BRENT M WIERSEMA D.O.
4045 W ROYAL DR
TRAVERSE CITY, MI 49684-8965
Phone number: 231-935-0900
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