Individual
TOD WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 GOUGH ST, SAN FRANCISCO, CA 94109-7622
(415) 474-7310
Mailing address
1010 GOUGH ST, SAN FRANCISCO, CA 94109-7622
(415) 474-7310
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
655762
CA
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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