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Individual

MR. SCOTT W WETTIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA-ACNP

Contact information

Practice address
2215 BURDETT AVENUE, TROY, NY 12180-2466
(518) 271-3300
(515) 525-6545
Mailing address
258 USHERS RD STE 204, CLIFTON PARK, NY 12065-1427
(518) 221-2521

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
526330
NY
363LA2100X
Acute Care Nurse Practitioner
F431089-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
526330-1
NY

Other

Enumeration date
04/05/2006
Last updated
04/12/2023
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