Matthew Wetzel

NPI 1760162465 · on the registry since 2023 · sole proprietor

Practice

Address: 1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404
Phone: (928) 854-5439
Fax: (928) 854-5440
Organisation at this address: Somewhere Out Of The Box
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 2355S0801X
2355S0801X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona