Individual
JOSEPH RUSSELL LEE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 W. MICHIGAN ST, FESLER HALL 204, INDIANAPOLIS, IN 46202
(317) 274-4343
(317) 274-0256
Mailing address
1130 W. MICHIGAN ST, FESLER HALL 204, INDIANAPOLIS, IN 46202
(317) 274-4343
(317) 274-0256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01089967A
IN
390200000X
Student in an Organized Health Care Education/Training Program
01089967A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/21/2019
Last updated
06/11/2024
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