Individual
DR. DAVID M. WETTACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 262-4110
Mailing address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 262-4110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23582
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011163
—
IA
Enumeration date
12/23/2005
Last updated
04/23/2013
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