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Individual

JEFFREY A WIRTHLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2310 N MOLTER RD STE 105, LIBERTY LAKE, WA 99019-8621
(509) 891-7867
(509) 922-0984
Mailing address
1121 NORTH DRURY CT, LIBERTY LAKE, WA 99019
(509) 926-2668
(509) 926-2668

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301076448
MI

Other

Enumeration date
08/09/2006
Last updated
02/17/2011
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