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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCA29380 (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.