Individual
MR. MARK WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
580 S ADAIR SPRINGS LN, PINETOP, AZ 85935-7011
(928) 367-5198
Mailing address
580 S ADAIR SPRINGS LN, PINETOP, AZ 85935-7011
(928) 367-5198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
25160
AK
163W00000X
Registered Nurse
Primary
52039
AZ
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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