Individual
GLENN T WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103
(901) 287-7337
Mailing address
49 N DUNLAP ST STE 345, MEMPHIS, TN 38103-2802
(901) 287-5092
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
39312
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
D95664
MD
2080P0202X
Pediatric Cardiology Physician
39312
TN
2080P0202X
Pediatric Cardiology Physician
Primary
D95664
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3325777
—
TN
Enumeration date
04/26/2006
Last updated
03/07/2024
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