Individual
DR. GARY M WILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015340
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1321532
—
LA
01
—
5M235
MEDICARE NUMBER
LA
Enumeration date
06/14/2006
Last updated
06/17/2022
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