Individual
DR. MICHAEL D WIRT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-5009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A86918
CA
2085R0202X
Diagnostic Radiology Physician
Primary
N0559
TX
208D00000X
General Practice Physician
N0559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A869180
—
CA
Enumeration date
06/14/2006
Last updated
11/11/2025
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