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Contact Information

MARY D WIERSMA, RN
1200 S COLUMBIA RD
GRAND FORKS, ND58206-6002
 Phone: 701-780-5000
 Fax: 701-780-1942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for MARY D WIERSMA · (Female)

NPI Number 1457543464
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/14/2007
Last updated 08/14/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R-062311-5
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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