NPI 1174335913

Ian Matthew Wiersma

Practitioner Physician Assistant Orange City, IA

Practice location

Address: 217 4th St NW, Orange City, IA 51041-1322
Phone: (616) 240-4710

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1174335913
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2025
Record last updated: 20 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.