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Individual
DR. NICHOLAS EDWARD WIRTZ
Active
Individual
DR. NICHOLAS EDWARD WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-41067
KS
207Y00000X
Otolaryngology Physician
2018016643
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2012
Last updated
05/29/2026
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