Individual
DR. RALPH MERRILL WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV, S.T.M, D.MIN.
Contact information
Practice address
2121 LAKE AVE, 125-F, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 460-1402
Mailing address
4310 ARA DR, P.O. BOX 286, WOODBURN, IN 46797-9588
(260) 493-3695
(260) 493-3322
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
171W00000X
Contractor
—
—
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27105178
TPIN
IN
01
—
8934521762
DRIVER'S LICENSE
IN
01
—
BRANDY432
MPIN
IN
01
—
P0500190
SBA
IN
01
—
XZMXZ3084733
BLUECROSS BLUE SHIELD
IN
Enumeration date
08/17/2006
Last updated
09/11/2025
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