NPI 1063003176

Madeleine Marie Wirth, PAC

Practitioner Physician Assistant Zanesville, OH

Practice location

Address: 751 Forest Ave STE 301, Zanesville, OH 43701-2875
Phone: (740) 455-4923
Mailing address: 1662 Merganser Run Dr, Columbus, OH 43215-1080

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 50.006840RX (OH)

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Registry record

NPI: 1063003176
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2021
Record last updated: 1 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.