Individual
MR. KEITH ALAN WURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 OKOBOJI AVE, MILFORD, IA 51351-1375
(712) 338-4865
(712) 338-4822
Mailing address
27 AIRPORT DR, MILFORD, IA 51351-8400
(712) 338-4048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15586
IA
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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