| Paul D. Wetzel, M.d. Inc | |
|
1551 Bishop St Ste 430 San Luis Obispo CA 93401-4663 | |
| (805) 261-1044 | |
| (805) 250-7452 |
| Full Name | Paul D. Wetzel, M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1551 Bishop St Ste 430, San Luis Obispo, California |
| Authorized Official Name and Position | Paul Daniel Wetzel (OWNER/PRESIDENT) |
| Authorized Official Contact | 8052159594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul D. Wetzel, M.d. Inc 1551 Bishop St Ste 430 San Luis Obispo CA 93401-4663 Ph: (805) 261-1044 | Paul D. Wetzel, M.d. Inc 1551 Bishop St Ste 430 San Luis Obispo CA 93401-4663 Ph: (805) 261-1044 |
| NPI Number | 1609975325 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 03/11/2022 |
| Medicare PECOS PAC ID | 6406879964 |
|---|---|
| Medicare Enrollment ID | O20060110001180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609975325 | NPI | - | NPPES |
| WA71477B | Other | CA | PPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Paul D Wetzel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366427221 PECOS PAC ID: 2961481833 Enrollment ID: I20040714001550 |
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