Individual
ETHAN WECKSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
934 S GARFIELD AVE STE A, TRAVERSE CITY, MI 49686-2402
(231) 935-0355
Mailing address
934 S GARFIELD AVE STE A, TRAVERSE CITY, MI 49686-2402
(231) 935-0355
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.154155
IL
2084P0800X
Psychiatry Physician
5101025942
MI
Other
Enumeration date
03/28/2018
Last updated
07/28/2022
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