Individual
DR. HERBERT LEE WETTREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 GATEWAY BLVD, MOORESVILLE, NC 28117-8522
(704) 664-9638
(704) 664-1859
Mailing address
140 GATEWAY BLVD, MOORESVILLE, NC 28117-9045
(704) 664-9638
(704) 664-1859
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270K
BCBS PRACTICE ID
NC
01
—
4402396
AETNA
NC
01
—
47702
MEDCOST
NC
01
—
562110704-002
CIGNA
NC
05
—
5912716
—
NC
01
—
8195
PARTNERS MEDICARE CHOICE
NC
01
—
835501
UNITED HEALTHCARE
NC
01
—
86676
BCBS
NC
05
—
8986676
—
NC
Enumeration date
11/10/2006
Last updated
08/15/2023
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