Provider Demographics
NPI:1790979045
Name:WETZEL, HAMILTON G (DC)
Entity Type:Individual
Prefix:DR
First Name:HAMILTON
Middle Name:G
Last Name:WETZEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 TIFFIN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-8516
Mailing Address - Country:US
Mailing Address - Phone:419-424-0100
Mailing Address - Fax:419-424-1188
Practice Address - Street 1:2113 TIFFIN AVE STE 101
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8516
Practice Address - Country:US
Practice Address - Phone:419-424-0100
Practice Address - Fax:419-424-1188
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO08201111N00000X
OHDC-03933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty