Individual
DR. CARRIE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 747-3141
(765) 448-7616
Mailing address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078916A
IN
207Q00000X
Family Medicine Physician
11018483A
IN
Other
Enumeration date
06/15/2015
Last updated
03/04/2021
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