Individual
DR. TIMOTHY RAY WESSEL
Active
Individual
DR. TIMOTHY RAY WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME85153
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME85153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279315600
—
FL
01
—
93574
BLUECROSS FLORIDA
FL
01
—
CM8550
MEDICARE RR
FL
Enumeration date
11/02/2006
Last updated
04/25/2013
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