Individual
DR. JOHN FRANKLIN WILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 JACKSON AVE, POINT PLEASANT, WV 25550-1713
(304) 675-4107
(304) 697-2086
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 525-3334
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18090
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109733000
—
WV
05
—
0189415
—
OH
01
—
1104008481
RR MEDICARE
—
Enumeration date
09/27/2006
Last updated
05/29/2015
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