Individual
MOLLY WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 S SUNNY SLOPE RD, BROOKFIELD, WI 53005-7060
(262) 798-8750
Mailing address
1350 S SUNNY SLOPE RD, BROOKFIELD, WI 53005-7060
(262) 798-8750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1087492
WI
Other
Enumeration date
11/08/2023
Last updated
07/01/2024
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