| Doctor Name: | DAVID G WETTERHOLT |
| NPI Number: | 1932484987 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G24402 |
| Business Practice Address: | 12224 Saratoga Sunnyvale Rd Saratoga, CA - 950703047 |
| Business Phone Number: | 4084464774 |
| Business Fax Number: | |
| Mailing Address: | 14054 Alta Vista Ave, SARATOGA |
| State: | CA |
| Postal Code: | 950705422 |
| Phone Number: | 4084464774 |
| Fax Number: | 4084469422 |
| NPI Enumeration Date: | 10/20/2011 |
| NPI Last Update Date: | 10/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G24402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |