Individual
TYLER JOHN WIRFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6211
Mailing address
210 PARK ST, EBENSBURG, PA 15931-1834
(814) 525-5189
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063177
PA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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