Individual
TORY LEE WETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
405 HUNTERS GLEN LN, JOHNSON CREEK, WI 53038-9484
(608) 642-1457
Mailing address
405 HUNTERS GLEN LN, JOHNSON CREEK, WI 53038-9484
(608) 642-1457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222688-30
WI
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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