Individual
DR. CHRISTOPHER JAMES WETZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4203 N SHERIDAN RD, SUITE A1-4, PEORIA, IL 61614-7170
(309) 686-0763
(309) 685-8809
Mailing address
4203 N SHERIDAN RD, SUITE A1-4, PEORIA, IL 61614-7170
(309) 686-0763
(309) 685-8809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46-009360
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410042675
RAILROAD MEDICARE
IL
Enumeration date
09/16/2005
Last updated
12/02/2016
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