Search › Wisconsin › 231H00000X
Gregory Wiersema, MST-CCC/A
NPI 1831195361 · on the registry since 2005
Practice
- Address
- 221 Fond Du Lac Ave
Fond Du Lac, WI 54935 - Phone
- (920) 923-4678
- Fax
- (920) 923-4678
Registry record
- Primary taxonomy
- 231H00000X
231H00000X
- Also registered as
- 237600000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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 Wisconsin