Individual
JAIME WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7600
Mailing address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
(651) 227-1804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55512
MN
Other
Enumeration date
04/26/2011
Last updated
09/29/2023
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