Individual
JOHN VICTOR WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25651 DETROIT RD STE 304, WESTLAKE, OH 44145-2415
(216) 383-0100
(216) 383-6481
Mailing address
PO BOX 74696, CLEVELAND, OH 44194-0779
(216) 383-6480
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35065799W
OH
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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