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Individual
ANTHONY JOSEPH WELLS
Active
Individual
ANTHONY JOSEPH WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0653303520
BLUE CROSS BLUE SHIELD
MI
01
—
0N61290015
MEDICARE PLUS BLUE/MEDICARE ADVANTAGE
MI
01
—
1058901
MCLAREN HEALTH ADVANTAGE
MI
01
—
9073520
AETNA
MI
01
—
P00833807
RAILROAD MEDICARE
MI
Enumeration date
02/25/2010
Last updated
07/21/2014
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