Wirtz, Jason John

Wirtz, Jason John is an individual health care provider with primary practice located at 1959 Sloan Place Suite 200, St Paul MN 55117-2074. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Wirtz, Jason John can be contacted via phone (651) 772-6235.

Contact Information

Primary practice address
1959 Sloan Place Suite 200 St Paul MN 55117-2074
Phone: (651) 772-6235
Fax: (651) 772-6261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44626 Minnesota
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 44626 Minnesota

Profile Details

NPI number 1255398830
LBN Legal business name Wirtz, Jason John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Mar 11th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255398830 NPPES
Minnesota MEDICAID 324537300

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