Individual
VALERIE WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1217 KEARNEY ST STE 2, PORT HURON, MI 48060-3571
(810) 990-8302
(810) 990-8402
Mailing address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704186273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704186273
N.P. LICENSE NUMBER
MI
Enumeration date
06/26/2006
Last updated
05/03/2018
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