Individual
CORI CHRISTINE WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3788 JEFFERSON RD, NORTH BRANCH, MI 48461-8982
(810) 614-0616
Mailing address
3788 JEFFERSON RD, NORTH BRANCH, MI 48461-8982
(810) 614-0616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4703098127
MI
363LF0000X
Family Nurse Practitioner
4704258019
MI
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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