Individual
LAWRENCE ALLEN WETTERAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-6600
(559) 353-6612
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-6600
(559) 353-6612
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
35080347W
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
A62927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A629270
MEDICAL RENDERING NUMBER
CA
05
—
2282284
—
OH
05
—
64060635
—
KY
Enumeration date
10/21/2005
Last updated
11/29/2021
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