| Doctor Name: | DR. THOMAS CHRISTIAN WESSEL |
| NPI Number: | 1063762029 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, PHD |
| License Number: | 184967 |
| Business Practice Address: | 22 Cliffwood St Lenox, MA - 012402027 |
| Business Phone Number: | 4134641047 |
| Business Fax Number: | |
| Mailing Address: | 22 Cliffwood St, LENOX |
| State: | MA |
| Postal Code: | 012402027 |
| Phone Number: | 4134641047 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2012 |
| NPI Last Update Date: | 09/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744R1102X |
| License Number: | 184967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Research Study |
| Taxonomy Definition: | |