Individual
MR. MICHAEL SCOTT WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2649 SCHOENERSVILLE RD STE 104, BETHLEHEM, PA 18017-7317
(484) 884-1011
(484) 884-1012
Mailing address
931 N 32ND ST, ALLENTOWN, PA 18104-3403
(973) 879-3597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055843
PA
363AM0700X
Medical Physician Assistant
Primary
MA055843
PA
363AS0400X
Surgical Physician Assistant
25MP00074400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA055843
STATE LICENSE
PA
Enumeration date
01/03/2007
Last updated
09/11/2025
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