Individual
MICHAEL WILLIAM WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
75 W WESMARK BLVD, SUMTER, SC 29150-1955
(803) 938-5395
(803) 938-5396
Mailing address
618 E MARKET ST, MAHANOY CITY, PA 17948-2836
(570) 778-7209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12197
SC
225100000X
Physical Therapist
2305213054
VA
Other
Enumeration date
08/07/2019
Last updated
02/05/2024
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