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Individual
MICHAEL WELLINGTON FAULK
Active
Individual
MICHAEL WELLINGTON FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD432033
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000543098
ANTHEM
OH
05
—
1019333580004
—
PA
05
—
2770014
—
OH
01
—
N424355
NON PAR WELLCARE
OH
Enumeration date
05/14/2007
Last updated
05/21/2013
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