Meredith Katherine Wierman D.O.

NPI 1477762680 - General Practice - 208D00000X

NPI Details
NPI 1477762680
Gender Female
Enumeration Date 05/22/2007
Last Updated 05/11/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
611 E DOUGLAS RD
STE 309
MISHAWAKA IN, 46545-1467, US
Phone (574) 335-6232
Fax (574) 335-6233
Business Location
PO BOX 6309
SOUTH BEND IN, 46660-6309, US
Phone (574) 335-8700
Fax (574) 335-0760
Toxanomy
Taxonomy Code 208D00000X
License State Michigan
License Number 5101015213
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According to our database, Dr. Meredith Katherine Wierman D.O. NPI is 1477762680, taxonomy code is 208D00000X and license number is 5101015213, license state is located at Michigan. Meredith Katherine Wierman D.O. physically located at 611 E Douglas Rd, Mishawaka IN, 46545-1467. NPI Number Meredith Katherine Wierman D.O. has the Individual type.

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1477762680 NPI number is provided on an as is basis without warranty of any kind. 1477762680 is maintained by the National Plan & Provider Enumeration System. The contents of Meredith Katherine Wierman D.O. are for informational purposes only.