Wirt, Michael D

Wirt, Michael D is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , San Antonio TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wirt, Michael D can be contacted via phone (210) 539-9582.

Contact Information

Primary practice address
3551 Roger Brooke Dr San Antonio TX 78234-4504
Phone: (210) 539-9582
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X N0559 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X N0559 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A86918 California

Profile Details

NPI number 1639112527
LBN Legal business name Wirt, Michael D
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639112527 NPPES
California MEDICAID 00A869180

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