Wettach, David M.

Wettach, David M. is an individual health care provider with primary practice located at 1518 Mulberry Ave , Muscatine IA 52761-3433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wettach, David M. can be contacted via phone (563) 262-4110.

Contact Information

Primary practice address
1518 Mulberry Ave Muscatine IA 52761-3433
Phone: (563) 262-4110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23582 Iowa

Profile Details

NPI number 1184601890
LBN Legal business name Wettach, David M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Apr 23rd, 2013 - about 12 years ago

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 1184601890 NPPES
Iowa MEDICAID 2011163

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