Individual
ROBERT SAMUEL WIRTHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Mailing address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00046133
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207068
LABOR AND INDUSTRIES
WA
01
—
1730187899
SPOKANE EYE CLINIC, PS
WA
01
—
1831165331
SPOKANE EYE SURGERY CENTER
WA
01
—
910852217
PREMERA BLUE CROSS
WA
Enumeration date
04/25/2006
Last updated
08/01/2024
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