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Individual

CHARLES E WIRTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 THOMPSON ST, BLOOMER, WI 54724
(715) 838-5222
Mailing address
1501 THOMPSON ST, BLOOMER, WI 54724-1257
(715) 568-4650

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26889
WI
208M00000X
Hospitalist Physician
Primary
26899
WI

Other

Enumeration date
01/19/2006
Last updated
09/20/2024
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