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Individual

DR. JOEL A. WIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
(207) 828-0188

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
014587
ME

Other

Enumeration date
08/31/2006
Last updated
09/14/2010
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