Individual
DR. NICHOLAS EDWARD WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6815 FRONTAGE RD, MERRIAM, KS 66204-1398
(913) 721-3387
(816) 875-2598
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-41067
KS
207Y00000X
Otolaryngology Physician
2018016643
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2012
Last updated
08/23/2024
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