Wetzel, Glenn T

Wetzel, Glenn T is an individual health care provider with primary practice located at 848 Adams Ave , Memphis TN 38103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Wetzel, Glenn T can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
848 Adams Ave Memphis TN 38103
Phone: (901) 287-7337
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 39312 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 39312 Tennessee
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X D95664 Maryland
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X D95664 Maryland

Profile Details

NPI number 1023074010
LBN Legal business name Wetzel, Glenn T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 7th, 2024 - about 9 months 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 1023074010 NPPES
Tennessee MEDICAID 3325777

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