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Kisuk Wirtz
NPI 1457672800 · on the registry since 2010 · sole proprietor
Practice
- Address
- 114 Frazee St E
47854 Swiss Lane
Detroit Lakes, MN 56501 - Phone
- (218) 573-3898
- Organisation at this address
- St Marys Regional Health Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota