Individual
THOMAS WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-5461
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
009724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409128
—
MI
05
—
3409173
—
MI
01
—
TW009724
BLUE CROSS/ BLUE SHIELD
MI
Enumeration date
05/18/2006
Last updated
06/05/2008
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