Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 5901002240 | MI |
Y | 213ES0103X | Foot & Ankle Surgery | E5024 | CA |
NPI | 1013151331 |
---|---|
Provider Name | Dr. Ben Stuart Wehrli |
First Address | Rancho Mirage, CA 92270-3221 |
Second Address | Rancho Mirage, CA 92270-3221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2009 |
Last Update Date | 18/09/2015 |