Lawrence Allen Wetterau, MD | |
9300 Valley Childrens Pl, Madera, CA 93636-8761 | |
(559) 353-6600 | |
(559) 353-6612 |
Full Name | Lawrence Allen Wetterau |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 9300 Valley Childrens Pl, Madera, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457341497 | NPI | - | NPPES |
00A629270 | Other | CA | MEDICAL RENDERING NUMBER |
2282284 | Medicaid | OH | |
64060635 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | 35080347W (Ohio) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | A62927 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Lawrence Allen Wetterau, MD 9300 Valley Childrens Pl, Madera, CA 93636-8761 Ph: (559) 353-6600 | Lawrence Allen Wetterau, MD 9300 Valley Childrens Pl, Madera, CA 93636-8761 Ph: (559) 353-6600 |
Dr. Meera Ramayya, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Mb23, Madera, CA 93636 Phone: 559-353-6600 Fax: 559-353-6612 | |
Dr. Sudhakar Reddivalam, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl, Madera, CA 93638 Phone: 559-353-5550 Fax: 559-353-5587 | |
Dr. Whitney Lyn Kalin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-5700 Fax: 559-353-5708 | |
John Sanchez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93638 Phone: 559-353-5068 Fax: 559-353-5426 | |
Dr. Jeffrey Thomas Pietz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Se21, Madera, CA 93636 Phone: 559-353-8769 | |
Saul Jacob, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Gw12, Madera, CA 93636 Phone: 559-353-5068 Fax: 559-353-5426 | |
Keenia Tappin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-5174 |