Wirtz, Mark William
Wirtz, Mark William is an individual health care provider with primary practice located at 100 N Nine Mound Rd , Verona WI 53593-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wirtz, Mark William can be contacted via phone (608) 845-9531.Contact Information
Primary practice address
100 N Nine Mound Rd
Verona WI 53593-1032
Phone: (608) 845-9531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-41706 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 71092-20 | Wisconsin |
Profile Details
| NPI number | 1063772275 |
|---|---|
| LBN Legal business name | Wirtz, Mark William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2012 |
| Last updated | Jan 19th, 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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