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Individual
MARCUS WELLEN
Active
Individual
MARCUS WELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
MD037305
DC
282N00000X
General Acute Care Hospital
Primary
E-6668
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2007
Last updated
07/06/2012
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