Wirth, Keith Matthew
Wirth, Keith Matthew is an individual health care provider with primary practice located at 2945 Hazelwood St Ste 200 , Maplewood MN 55109-1243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wirth, Keith Matthew can be contacted via phone (612) 232-7800.Contact Information
Primary practice address
2945 Hazelwood St Ste 200
Maplewood MN 55109-1243
Phone: (612) 232-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 61495 | Minnesota |
Profile Details
| NPI number | 1336568617 |
|---|---|
| LBN Legal business name | Wirth, Keith Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Aug 7th, 2023 - about 2 years 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.
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