Individual
MS. MISTY T WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
963 TAFT PL, NEW ORLEANS, LA 70119-3827
(504) 309-4246
Mailing address
963 TAFT PL, NEW ORLEANS, LA 70119-3827
(504) 309-4246
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
205533
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104124
—
LA
Enumeration date
06/16/2008
Last updated
09/15/2014
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