Individual
DR. PAUL WETSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 383-3240
Mailing address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 383-3240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036166628
IL
2086S0102X
Surgical Critical Care Physician
ME135643
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2012
Last updated
03/05/2024
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