Individual
MR. ADAM MICHAEL IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1000
(715) 258-1632
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13449
WI
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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