Individual
ANDREW WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2309 W CONE BLVD STE 110, GREENSBORO, NC 27408-4045
(336) 890-8902
Mailing address
24581 ENCHANTED DR, NOVI, MI 48374-2947
(734) 578-4074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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