Individual
MICHAEL DWAYNE WELCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4101
(616) 258-7599
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0038
CERTIFIED PEER RECOVERY COACH MDHHS
MI
Enumeration date
02/20/2023
Last updated
02/20/2023
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