Individual
JOHN P WUERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 S STOCKWELL RD, EVANSVILLE, IN 47714-0247
(812) 476-5437
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01025178A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082153
ANTHEM
IN
01
—
01025178B
CSR
IN
05
—
100365910
—
IN
01
—
10787313
CAQH
IN
01
—
260034378
RAILROAD
IN
Enumeration date
08/16/2006
Last updated
03/07/2023
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