Individual
MARIE ANN WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 HOWARD AVE, SUITE E-3, ALTOONA, PA 16601-4810
(814) 946-0429
(814) 946-9299
Mailing address
501 HOWARD AVE, SUITE E-3, ALTOONA, PA 16601-4810
(814) 946-0429
(814) 946-9299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0033245E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010172360002
—
PA
Enumeration date
08/30/2006
Last updated
07/08/2007
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