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General NPI Number Information
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NPI Number | 1710479761
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Entity Type | Individual
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Provider Name | MOLLIE WETSTEIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 310 N 7 HILLS RD STE 220
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City | O FALLON
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State | IL
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Zip | 62269-4111
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Country | US
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Telephone | 618-624-6181
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Fax | 618-624-7172
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Provider Business Mailing Address
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Address Line | 415 W COLUMBIA ST STE 110
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City | EVANSVILLE
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State | IN
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Zip | 47710-1656
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Country | US
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Telephone | 812-450-3363
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Fax | 812-450-3071
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01084278A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11019961A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036177195
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License Number State | IL
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