Provider Demographics
NPI:1700938586
Name:WERTZ, ROBERT E (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:WERTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:620 HOWARD AVE
Mailing Address - Street 2:SUITE 3F
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4804
Mailing Address - Country:US
Mailing Address - Phone:814-889-7500
Mailing Address - Fax:814-889-7499
Practice Address - Street 1:620 HOWARD AVE
Practice Address - Street 2:SUITE 3F
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4804
Practice Address - Country:US
Practice Address - Phone:814-889-7500
Practice Address - Fax:814-889-7499
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2012-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD027999L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC26970Medicare UPIN