Individual
DYLAN JACOB WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7450 HOSPITAL DR STE 460, DUBLIN, OH 43016-9642
(614) 533-4999
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-094982
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-094982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081330
—
OH
Enumeration date
08/06/2007
Last updated
06/02/2022
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