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1104928019
LARRY MARTIN WIERTZ
TYLER, TX
NPI
1104928019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: TX F0822)
Enumeration Date
2006-09-01
Last Update Date
2010-01-13
Business Address
Dr. LARRY MARTIN WIERTZ M.D.
7516 HOLLYTREE DR
TYLER, TX 75703-0928
Phone number: 903-561-1192
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Mailing Address
Dr. LARRY MARTIN WIERTZ M.D.
7516 HOLLYTREE DR
TYLER, TX 75703-0928
Phone number: 903-561-1192
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