Healthcare Provider Details

I. General information

NPI: 1518982867
Provider Name (Legal Business Name): KARIN WETZLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 01/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8245 NORTHCREEK DR
CINCINNATI OH
45236-2283
US

IV. Provider business mailing address

4600 WESLEY AVE STE N
CINCINNATI OH
45212-2298
US

V. Phone/Fax

Practice location:
  • Phone: 513-246-7000
  • Fax: 513-246-5284
Mailing address:
  • Phone: 513-246-7796
  • Fax: 513-246-7855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35060858
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: