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Individual

DR. LAWRENCE DANIEL WURTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 UNIVERSITY BLVD, SUITE 1250, INDIANAPOLIS, IN 46202-5149
(317) 274-7372
(317) 274-7395
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01046841A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01046841A
LICENSE
IN
01
01046841B
CSR
IN
05
200152340
IN
Enumeration date
05/12/2006
Last updated
03/15/2025
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