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1558946491
COLLEEN MARY WIRTH
WILLIAMSVILLE, NY
NPI
1558946491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-03-12
Last Update Date
2021-05-11
Business Address
COLLEEN MARY WIRTH Physician Assistant
425 ESSJAY RD STE 180
WILLIAMSVILLE, NY 14221-5782
Phone number: 716-630-1140
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Mailing Address
COLLEEN MARY WIRTH Physician Assistant
425 ESSJAY RD STE 170
WILLIAMSVILLE, NY 14221-8235
Phone number: 716-630-1219
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