Individual
DALE RAY WIETHOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2007 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33409-6501
(561) 420-8555
(888) 442-6078
Mailing address
8782 ESTATE DR, ROYAL PALM BEACH, FL 33411-6592
(561) 791-0376
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME25941
FL
Other
Enumeration date
11/15/2006
Last updated
04/08/2015
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