Individual
DR. MARK OWEN WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
209 N 2ND AVE W, NEWTON, IA 50208-3033
(641) 787-9500
(866) 221-7906
Mailing address
PO BOX 901, NEWTON, IA 50208-0901
(641) 787-9500
(866) 221-7906
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00751
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1273128
—
IA
01
—
39949
WELLMARK BC/BS PROVIDER #
IA
Enumeration date
09/20/2006
Last updated
09/07/2010
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