Individual
DIRK T WRISTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 OCOEE APOPKA RD, APOPKA, FL 32703-9210
(407) 609-7000
Mailing address
201 N GLENWOOD AVE, ORLANDO, FL 32803-6034
(512) 567-5539
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME165769
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2021
Last updated
06/17/2024
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