Individual
MR. ANDREW WILLIS WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 CAPITOL AVE FL 1, SACRAMENTO, CA 95816-6039
(916) 887-0104
(916) 887-0112
Mailing address
2750 GATEWAY OAKS DR STE 150, SACRAMENTO, CA 95833-3668
(916) 887-7398
(916) 503-3886
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C34429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C344290
—
CA
Enumeration date
08/19/2005
Last updated
06/15/2018
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