Individual
WESLEY ROBERT ORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ADMINISTRATION CIRCLE, CHINA LAKE, CA 93555
(301) 400-3995
Mailing address
1 ADMINISTRATION CIRCLE, CHINA LAKE, CA 93555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208246
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2022
Last updated
03/21/2024
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