Individual provider · Type 1 NPI
Glenn Albert Wiersma, DC
Chiropractor · Oakland, CA
NPI number
1417009192
Active
Practice location
3800 Piedmont Avenue
Oakland, CA 94611-5354
Fax (510) 597-0134
Mailing address
3800 Piedmont Ave
Oakland, CA 94611-5354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CA29380 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1417009192
Glenn Albert Wiersma, DC's National Provider Identifier is 1417009192, issued on Jan 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.