Individual
ADAM WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4104 S 4TH ST, LEAVENWORTH, KS 66048-5082
(785) 580-6100
Mailing address
1100 N 2ND ST APT 429, LEAVENWORTH, KS 66048-1565
(785) 580-6100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-46512
KS
208D00000X
General Practice Physician
04-46512
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
12/05/2024
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