Individual
HENRY WIRTJES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1337 N SUMTER BLVD, NORTH PORT, FL 34286-8072
(877) 442-4476
Mailing address
1240 FRONT PLACE, APARTMENT 1201, NORTH PORT, FL 34287
(320) 760-0578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15266
FL
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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