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Contact Information

CHARLES E WIRTZ, MD
1501 THOMPSON ST
BLOOMER, WI54724
 Phone: 715-838-5222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLES E WIRTZ · (Male)

NPI # 1659351195
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2006
Last updated 09/20/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 26889
  • WI License # 26899
Hospital affiliation(s)
  • MAYO CLINIC HEALTH SYSTEM- CHIPPEWA VALLEY INC - (Critical Access)
    1501 THOMPSON ST
    BLOOMER, WI 54724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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