Individual
AMANDA WIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 674-4700
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6156
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
10/23/2018
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