Individual
LOWELL ALBERT WETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
665 BROMFIELD RD, SAN MATEO, CA 94402-1067
(650) 343-5400
Mailing address
665 BROMFIELD RD, SAN MATEO, CA 94402-1067
(650) 343-5400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A51501
CA
246ZS0410X
Surgical Technologist
A51501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A51501
LICENSE
CA
05
—
YYY34803Y
—
CA
Enumeration date
02/11/2007
Last updated
06/24/2024
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