Wirt, Michael D
Wirt, Michael D is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , San Antonio TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wirt, Michael D can be contacted via phone (210) 539-9582.Contact Information
Primary practice address
3551 Roger Brooke Dr
San Antonio TX 78234-4504
Phone: (210) 539-9582
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | N0559 | Texas |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | N0559 | Texas |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A86918 | California |
Profile Details
NPI number | 1639112527 |
---|---|
LBN Legal business name | Wirt, Michael D |
Credentials | M.D., PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Apr 22nd, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639112527 | NPPES |
California | MEDICAID | 00A869180 |
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