Provider Demographics
NPI:1134278344
Name:WETZEL, JEFFREY OSCAR (PT PHYS THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:OSCAR
Last Name:WETZEL
Suffix:
Gender:M
Credentials:PT PHYS THERAPIST
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Mailing Address - Street 1:1833 E BISMARCK EXPRESSWAY
Mailing Address - Street 2:MEDCENTER ONE OCCUPATIONAL HEALTH CLINIC
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504
Mailing Address - Country:US
Mailing Address - Phone:701-323-5222
Mailing Address - Fax:701-323-5867
Practice Address - Street 1:1833 E BISMARCK EXPRESSWAY
Practice Address - Street 2:MEDCENTER ONE OCCUPATIONAL HEALTH CLINIC
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504
Practice Address - Country:US
Practice Address - Phone:701-323-5222
Practice Address - Fax:701-323-5867
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist