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Individual

DR. ROBERT JOSEPH WETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125056578
IL
207XX0801X
Orthopaedic Trauma Physician
Primary
35.126739
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0137880
OH
05
201225330
IN
Enumeration date
06/29/2009
Last updated
12/22/2020
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