DR. RANDALL T WURTZ MD NPI 1033179924

NPI Information

NPI: 1033179924
Provider Name: DR. RANDALL T WURTZ, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
23800 ORCHARD LAKE RD
STE 100
FARMINGTON HILLS, MI
ZIP 48336
Phone: (248) 476-2420
Get Directions

DR. Randall T Wurtz, MD is a family medicine in Farmington Hills, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Randall T Wurtz, MD NPI is 1033179924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23800 ORCHARD LAKE RD
STE 100
FARMINGTON HILLS, MI
ZIP 48336-561
Phone: (248) 476-2420
Fax: (248) 476-9709

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		RW04811	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C4937	OTHER		MCARE
2	3396093	MEDICAID	MICHIGAN
3	0630509	OTHER	MICHIGAN	BCBS
4	A76102	MEDICARE UPIN
5	103911	OTHER		CARE CHOICES PREFERRED CH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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