Provider Demographics
NPI:1659384907
Name:WETZEL, ROBERT J (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:WETZEL
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:380 SUMMIT AVENUE
Mailing Address - Street 2:MSO PHYSICIAN BILLING
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7597
Mailing Address - Fax:740-283-7807
Practice Address - Street 1:306 W MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8801
Practice Address - Country:US
Practice Address - Phone:740-633-4127
Practice Address - Fax:740-633-4185
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2025-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35074056207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2058375Medicaid
WV009375300Medicaid
000000166068OtherANTHEM BC BS
WV000337413OtherMS BC BS