Most Relevant Information
Provider Data
| NPI Number: | 1003247420 |
| Provider Name: | ROBERT DONALD WURTH |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 1982-226 |
Most Important Dates
| Enumeration Date: | 12/11/2013 |
| Last Updated: | 12/11/2013 |
Provider Practice Location
114 GRAND AVE
WAUSAU
WI
544036214
Practice Location Phone/Fax
| Phone: | 7158457175 |
| Fax: | 7158457142 |
Provider Mailing Location
114 GRAND AVE
WAUSAU
WI
544036214
Provider Mailing Phone/Fax
| Phone: | 7158457175 |
| Fax: | 7158457142 |