Individual
MAX RICHARD WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
100116
WI
207Q00000X
Family Medicine Physician
Primary
84501-20
WI
Other
Enumeration date
04/10/2023
Last updated
08/06/2025
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