| Doctor Name: | MICHELLE L VETSCH |
| NPI Number: | 1215212865 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | A117470 |
| Business Practice Address: | 1518 Mulberry Ave Muscatine, IA - 527613433 |
| Business Phone Number: | 5632624110 |
| Business Fax Number: | 5632649195 |
| Mailing Address: | 400 Ovesen Dr, WILTON |
| State: | IA |
| Postal Code: | 527789612 |
| Phone Number: | 5637322121 |
| Fax Number: | 5637324232 |
| NPI Enumeration Date: | 10/14/2011 |
| NPI Last Update Date: | 04/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A117470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |