Organization
PAUL D. WETZEL, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DANIEL WETZEL M.D. (OWNER/PRESIDENT)
(805) 215-9594
Entity
Organization
Contact information
Practice address
1551 BISHOP ST STE 430, SAN LUIS OBISPO, CA 93401-4663
(805) 261-1044
(805) 250-7452
Mailing address
1551 BISHOP ST STE 430, SAN LUIS OBISPO, CA 93401-4663
(805) 261-1044
(805) 250-7452
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA71477B
PPIN
CA
Enumeration date
09/21/2006
Last updated
03/11/2022
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