Individual
MICHAEL EUGENE WETTSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11406 LOMA LINDA DR STE 516, LOMA LINDA, CA 92354-3711
(909) 558-6204
Mailing address
11406 LOMA LINDA DR STE 516, LOMA LINDA, CA 92354-3711
(909) 558-6204
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A67921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00415474
RAILROAD MEDICARE
WA
Enumeration date
06/09/2006
Last updated
05/14/2021
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