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Individual
STACIE MARIE WELLMAN
Active
Individual
STACIE MARIE WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12893
ND
207Q00000X
Family Medicine Physician
14041
SD
207Q00000X
Family Medicine Physician
Primary
19227
ND
207Q00000X
Family Medicine Physician
68454
MT
207Q00000X
Family Medicine Physician
8897
SD
Other
Enumeration date
06/16/2010
Last updated
03/06/2023
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