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1689770372
WESLEY MAUNDER VIETZKE
BRANFORD, CT
NPI
1689770372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 013073)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
Dr. WESLEY MAUNDER VIETZKE M.D.
15 W HAYCOCK POINT RD
BRANFORD, CT 06405-5307
Phone number: 203-488-4688
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Mailing Address
Dr. WESLEY MAUNDER VIETZKE M.D.
15 W HAYCOCK POINT RD
BRANFORD, CT 06405-5307
Phone number: 203-488-4688
Copy
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