Wurtz, Randall T
Wurtz, Randall T is an individual health care provider with primary practice located at 23800 Orchard Lake Rd Ste 100, Farmington Hills MI 48336-2561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wurtz, Randall T can be contacted via phone (248) 476-2420.Contact Information
Primary practice address
23800 Orchard Lake Rd Ste 100
Farmington Hills MI 48336-2561
Phone: (248) 476-2420
Fax: (248) 476-9709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RW04811 | Michigan |
Profile Details
| NPI number | 1033179924 |
|---|---|
| LBN Legal business name | Wurtz, Randall T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033179924 | NPPES |
| Michigan | Other | 0630509 | BCBS |
| Michigan | MEDICAID | 3396093 | BCBS |
| Michigan | Other | C4937 | BCBS |
| Michigan | Other | 103911 | BCBS |
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