Individual
BRYCE WELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4145 E 61ST ST, INDIANAPOLIS, IN 46220-4668
(317) 374-9121
Mailing address
4145 E 61ST ST, INDIANAPOLIS, IN 46220-4668
(317) 374-9121
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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