Individual
DR. EZEKIEL J WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF ANESTHESIA, SHREVEPORT, LA 71103-4228
(318) 675-5298
(318) 675-6681
Mailing address
9505 RHAPSODY LN, SHREVEPORT, LA 71118-4245
(318) 675-5298
(318) 675-6681
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.201152
LA
208D00000X
General Practice Physician
A90433
CA
Other
Enumeration date
12/16/2005
Last updated
08/07/2007
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