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Individual

BRICE WUTHRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 823-4133
(215) 823-4545
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 823-4133
(215) 823-4545

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT233694
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/17/2024
Last updated
05/07/2025
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