MEDICARE: ROBERT J WETZEL 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
1	207V00000X	Obstetrics & Gynecology Physician	35074056	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000166068	OTHER		ANTHEM BC BS
4	000337413	OTHER	WV	MS BC BS

General Provider Information

NPI Number	:	1659384907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J WETZEL MD

Provider Business Mailing Address
First Line	:	380 SUMMIT AVENUE
Second Line	:	MSO PHYSICIAN BILLING
City	:	STEUBENVILLE
State	:	OH
Zip	:	43952-2667
Country	:	US
Telephone Number	:	740-283-7597
Fax Number	:	740-283-7807

Provider Business Practice Location Address
First Line	:	306 W MAIN ST STE 4
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-8801
Country	:	US
Telephone Number	:	740-633-4127
Fax Number	:	740-633-4185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	02/19/2025

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