Individual
ROGER T WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1421 PINE AVE, RANTOUL, IL 61866-2019
(217) 892-2176
Mailing address
3007 WEEPING CHERRY DR, CHAMPAIGN, IL 61822-6880
(217) 356-8925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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