| Doctor Name: | DR. WENDELL E WETTSTEIN |
| NPI Number: | 1871551564 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G31737 |
| Business Practice Address: | 12408 Hesperia Rd Suite 2 Victorville, CA - 923957718 |
| Business Phone Number: | 7605537000 |
| Business Fax Number: | |
| Mailing Address: | 12370 Hesperia Rd, Suite 6 VICTORVILLE |
| State: | CA |
| Postal Code: | 923957719 |
| Phone Number: | 7602454747 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 02/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G31737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |