Individual
DANIEL E WESCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W FOREST AVE, SUITE 201, FLAGSTAFF, AZ 86001-1479
(928) 773-2222
(928) 773-2598
Mailing address
PO BOX 10577, SCOTTSDALE, AZ 85271-0577
(928) 773-2222
(928) 773-2598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20534
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312918
—
AZ
01
—
AZ0825790
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
03/14/2006
Last updated
01/25/2008
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