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Individual

MS. MONICA M WELLINGS

Active
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Individual

MS. MONICA M WELLINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10629
MN
363A00000X
Physician Assistant
Primary
23 018257
NY
363AM0700X
Medical Physician Assistant
MA052708
PA
363AS0400X
Surgical Physician Assistant
C0003424
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
01
P00808100
RAILROAD MEDICARE
MN
Enumeration date
11/01/2006
Last updated
01/03/2015
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