Individual
PETER DWIGHT WIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7601 OFFICE PLAZA DR N, SUITE 115, W DES MOINES, IA 50266-2338
(515) 278-5811
(515) 981-0420
Mailing address
PO BOX 355, NORWALK, IA 50211-0355
(515) 278-5811
(515) 981-0420
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
17314
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030767
—
IA
Enumeration date
02/26/2007
Last updated
07/08/2007
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