Glenn T Wetzel MD

NPI 1023074010 - Pediatrics - 2080P0202X

NPI Details
NPI 1023074010
Gender Male
Enumeration Date 04/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1910 NONCONNAH BLVD
SUITE 120
MEMPHIS TN, 38132-2113, US
Phone (901) 448-2300
Fax (901) 448-6657
Business Location
66 N PAULINE ST
SUITE 206
MEMPHIS TN, 38105-5105, US
Phone (901) 448-7642
Fax (901) 448-8015
Toxanomy
Taxonomy Code 2080P0202X
License State Tennessee
License Number 39312
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According to our database, Dr. Glenn T Wetzel MD NPI is 1023074010, taxonomy code is 2080P0202X and license number is 39312, license state is located at Tennessee. Glenn T Wetzel MD physically located at 1910 Nonconnah Blvd, Memphis TN, 38132-2113. NPI Number Glenn T Wetzel MD has the Individual type.

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1023074010 NPI number is provided on an as is basis without warranty of any kind. 1023074010 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn T Wetzel MD are for informational purposes only.