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NPI Code Detail

MEDICARE: ALEXANDER R WESSEL MD

MEDICARE: ALEXANDER R WESSEL MD
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
1207X00000XOrthopaedic Surgery Physician2013018135MO
2207X00000XOrthopaedic Surgery PhysicianDR.0063019CO

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 : 1043658974
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER R WESSEL MD
Provider Business Mailing Address
First Line : 4925 N NEVADA AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-8600
Country : US
Telephone Number : 719-776-3750
Fax Number : 719-776-3751
Provider Business Practice Location Address
First Line : 4925 N NEVADA AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-8600
Country : US
Telephone Number : 719-776-3750
Fax Number : 719-776-3751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 03/02/2023

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