Provider Demographics
NPI:1750623161
Name:WIRTS, STEVEN BAYLISS (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BAYLISS
Last Name:WIRTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8008 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3943
Mailing Address - Country:US
Mailing Address - Phone:215-248-4585
Mailing Address - Fax:215-248-4585
Practice Address - Street 1:8008 LINCOLN DR
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3943
Practice Address - Country:US
Practice Address - Phone:215-248-4585
Practice Address - Fax:214-248-4585
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-24
Last Update Date:2013-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD017575E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology