Individual
MICHAEL D WETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
495 M 66, ATHENS, MI 49011
(269) 729-9430
(269) 729-5613
Mailing address
PO BOX 156, 495 M 66, ATHENS, MI 49011
(269) 729-9430
(269) 729-5613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012568
MI
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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