Individual
DR. RICHARD ANDREW WIRTANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11700 BOWMAN GREEN DR, RESTON, VA 20190-3501
(571) 375-2630
Mailing address
2166 MOUNTAIN RUN RD, BERKELEY SPRINGS, WV 25411-5641
(571) 201-4903
(304) 867-4259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555736
VA
Other
Enumeration date
07/26/2005
Last updated
02/13/2020
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