Individual
ELIZABETH A WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
261 M 62, CASSOPOLIS, MI 49031-1034
(269) 445-3874
(269) 445-1930
Mailing address
261 M 62, CASSOPOLIS, MI 49031-1034
(269) 445-3874
(269) 445-1930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02002169A
IN
207Q00000X
Family Medicine Physician
Primary
5101011724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200260320B
—
IN
Enumeration date
06/08/2006
Last updated
08/04/2025
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