Provider Demographics
NPI:1881878213
Name:WETZEL, CHRIS TOBIN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:TOBIN
Last Name:WETZEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-2625
Mailing Address - Country:US
Mailing Address - Phone:717-334-9535
Mailing Address - Fax:717-337-0340
Practice Address - Street 1:312 BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2625
Practice Address - Country:US
Practice Address - Phone:717-334-9535
Practice Address - Fax:717-337-0340
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT188360207Q00000X
PAMD435351207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMT188360OtherSTATE BOARD OF MEDICINE