| Doctor Name: | HENRI WETSELAAR |
| NPI Number: | 1104924349 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 3432 |
| Business Practice Address: | 2881 South Valley View Suite 16 Las Vegas, NV - 891020175 |
| Business Phone Number: | 7024809794 |
| Business Fax Number: | 7024342047 |
| Mailing Address: | 3681 Forestcrest Dr, LAS VEGAS |
| State: | NV |
| Postal Code: | 891214954 |
| Phone Number: | 7024809794 |
| Fax Number: | 7024342047 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 04/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |