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Individual
DR. LARRY MARTIN WIERTZ
Active
Individual
DR. LARRY MARTIN WIERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
F0822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128562906
—
TX
01
—
P00404433
RAILOAD MEDICARE
TX
01
—
RAILROAD MEDICARE
827113008
TX
Enumeration date
09/01/2006
Last updated
01/13/2010
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