Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 6200 | AZ |
NPI | 1205173788 |
---|---|
Provider Name | Dr. Robert Lewis Wechsler |
First Address | Scottsdale, AZ 85253-2604 |
Second Address | Scottsdale, AZ 85253-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2013 |
Last Update Date | 03/01/2013 |