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NPI Code Detail

MEDICARE: ELIZABETH A WETZEL DO

MEDICARE: ELIZABETH A WETZEL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02002169AIN
2207Q00000XFamily Medicine Physician5101011724MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881634566
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A WETZEL DO
Provider Business Mailing Address
First Line : 261 M 62
Second Line :
City : CASSOPOLIS
State : MI
Zip : 49031-1034
Country : US
Telephone Number : 269-445-3874
Fax Number : 269-445-1930
Provider Business Practice Location Address
First Line : 261 M 62
Second Line :
City : CASSOPOLIS
State : MI
Zip : 49031-1034
Country : US
Telephone Number : 269-445-3874
Fax Number : 269-445-1930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 08/04/2025

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Directions to “ ELIZABETH A WETZEL DO” Practice Location

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