Wetjen, Nicholas M

Wetjen, Nicholas M is an individual health care provider with primary practice located at 1215 Pleasant St Ste 608 , Des Moines IA 50309-1418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Wetjen, Nicholas M can be contacted via phone (515) 241-5760.

Contact Information

Primary practice address
1215 Pleasant St Ste 608 Des Moines IA 50309-1418
Phone: (515) 241-5760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01087764A Indiana
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 43826 Minnesota
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD-45106 Iowa

Profile Details

NPI number 1275502726
LBN Legal business name Wetjen, Nicholas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275502726 NPPES
Indiana MEDICAID 300062435
Indiana Other 1102242609
Indiana Other IN4866038

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