Search › Alaska › 122300000X
Joel Wiersum, DDS
NPI 1467462341 · on the registry since 2006
Practice
- Address
- 411 Rezanof Dr E
Suite 101
Kodiak, AK 99615 - Phone
- (907) 486-3475
- Fax
- (907) 486-3427
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska