NICOLE M. WIRTZ

SPRINGFIELD, IL
NPI1184933806
Former NameNICOLE M. VENVERTLOH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085003906)
Enumeration Date2010-09-29
Last Update Date2020-05-19
Business Address
NICOLE M. WIRTZ PA-C
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
Mailing Address
NICOLE M. WIRTZ PA-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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