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Individual

KATHRYN WIRTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
(414) 566-8100
(414) 566-8038
Mailing address
3300 N 124TH ST, WAUWATOSA, WI 53222-3106
(414) 778-6200
(414) 778-6222

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
339-023
WI

Other

Enumeration date
03/07/2006
Last updated
03/22/2022
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