Individual
MR. JOEL A WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
335 N 120TH AVE, HOLLAND, MI 49424-2118
(616) 392-5222
(616) 392-3653
Mailing address
335 N 120TH AVE, HOLLAND, MI 49424-2118
(616) 392-5222
(616) 392-3653
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003123
JAW STATE
MI
01
—
JW003123
JAW BCBSMI
MI
Enumeration date
02/17/2006
Last updated
08/28/2012
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