Randall T Wurtz MD

NPI 1033179924 - Family Medicine - 207Q00000X

NPI Details
NPI 1033179924
Gender Male
Enumeration Date 03/24/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
23800 ORCHARD LAKE RD
STE 100
FARMINGTON HILLS MI, 48336-2561, US
Phone (248) 476-2420
Fax (248) 476-9709
Business Location
23800 ORCHARD LAKE RD
STE 100
FARMINGTON HILLS MI, 48336-2561, US
Phone (248) 476-2420
Fax (248) 476-9709
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number RW04811
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According to our database, Dr. Randall T Wurtz MD NPI is 1033179924, taxonomy code is 207Q00000X and license number is RW04811, license state is located at Michigan. Randall T Wurtz MD physically located at 23800 Orchard Lake Rd, Farmington Hills MI, 48336-2561. NPI Number Randall T Wurtz MD has the Individual type.

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1033179924 NPI number is provided on an as is basis without warranty of any kind. 1033179924 is maintained by the National Plan & Provider Enumeration System. The contents of Randall T Wurtz MD are for informational purposes only.