Individual
DR. WESLEY MAUNDER VIETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 W HAYCOCK POINT RD, BRANFORD, CT 06405-5307
(203) 488-4688
(203) 488-9087
Mailing address
15 W HAYCOCK POINT RD, BRANFORD, CT 06405-5307
(203) 488-4688
(203) 488-9087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013073
CT
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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