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Organization
ALLAN S. WIRTZER
Active
Organization
ALLAN S. WIRTZER
Active
Other names
MID VALLEY DERMATOLOGICAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN STANLEY WIRTZER M.D. (MEDICAL DIRECTOR)
(818) 907-7546
Entity
Organization
Contact information
Practice address
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2101
(818) 907-7546
(818) 907-9506
Mailing address
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2101
(818) 907-7546
(818) 907-9506
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QA1903X
CA
Other
Enumeration date
04/28/2006
Last updated
11/13/2008
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