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Individual

EMILY CHRISTINA WIRTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2060 LANDER RD, MAYFIELD HEIGHTS, OH 44124-4100
(440) 461-6100
Mailing address
2980 MILLGATE DR, WILLOUGHBY HILLS, OH 44094-9470
(440) 488-4747

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.146636
OH
208200000X
Plastic Surgery Physician
Primary
35.146636
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/06/2016
Last updated
11/11/2022
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