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Individual

WILLIAM WETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Mailing address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
46180
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0333
SC
Enumeration date
10/06/2014
Last updated
10/06/2014
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