Active NPIIndividual providerSole proprietor

Dr. Wesley M Vietzke, MD

Internal Medicine in Branford, Connecticut

NPI Number1689770372
Practice location
15 W Haycock Point RD, Branford, CT 06405-5307
Fax
203-488-9087
Last updated
July 8, 2007

Wesley Maunder Vietzke is an Internal Medicine based in Branford, CT. Wesley Maunder Vietzke practices in Branford, CT and has the professional credentials of MD. The NPI Number for Wesley Maunder Vietzke is 1689770372 and holds a License No. 013073 (CT). The current practice location address for Wesley Maunder Vietzke is 15 W Haycock Point RD, Branford, CT 06405-5307 and can be reached out via phone at 203-488-4688 and via fax at 203-488-9087.

Provider Profile Details

NPI Number
1689770372
Provider Name
Wesley Maunder Vietzke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 W Haycock Point RD, Branford, CT 06405-5307
Phone Number
203-488-4688
Fax Number
203-488-9087
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 W Haycock Point RD
Branford, CT 06405-5307
Zip
06405-5307
Phone Number
203-488-4688
Fax Number
203-488-9087
Branford, CT 06405Get directions →

Provider Business Mailing Address Details

Address
15 W Haycock Point RD
Branford, CT 06405-5307
City
Branford
State
CT
Zip
06405-5307
Phone Number
203-488-4688
Fax Number
203-488-9087

License Information

License Number
013073
License State
CT
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Wesley M Vietzke, MD?

The NPI number of Dr. Wesley M Vietzke, MD is 1689770372. It was assigned on September 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Wesley M Vietzke, MD?

Dr. Wesley M Vietzke, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 013073.

Where does Dr. Wesley M Vietzke, MD practice?

The practice location is 15 W Haycock Point RD, Branford, CT 06405-5307. The office can be reached at 203-488-4688 (phone) or 203-488-9087 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689770372 directly on the NPPES registry website.

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