Individual
DR. BRETT A. WURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEMORIAL MEDICAL CTR, 701 N 1ST STREET, SPRINGFIELD, IL 62781-0001
(217) 788-5495
(217) 788-5496
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-5495
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036114802
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036114802
BC OF IL
IL
05
—
036114802
—
IL
Enumeration date
04/21/2006
Last updated
10/23/2013
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