Rustan J Wiersma, MD is a
Otolaryngology physician based in Onalaska, Wisconsin. Rustan J Wiersma is licensed to practice in Wisconsin (license number 23302) and his current practice location is 191 Theatre Rd, Onalaska, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 392-5000.
NPI number for Rustan J Wiersma is 1417947540 and his current mailing address is 191 Theatre Rd, Onalaska, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417947540.
Physician's Profile
| Full Name | Rustan J Wiersma |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 191 Theatre Rd, Onalaska, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417947540
- Provider Enumeration Date: 10/28/2005
- Last Update Date: 04/02/2012
Medical Identifiers
Medical identifiers for Rustan J Wiersma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417947540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 23302 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rustan J Wiersma is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rustan J Wiersma, MD
191 Theatre Rd,
Onalaska, WI 54650-8679
Ph: (608) 392-5000 | Rustan J Wiersma, MD
191 Theatre Rd,
Onalaska, WI 54650-8679
Ph: (608) 392-5000 |
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