Individual
SHELLEY MARIE WELLS
Active
Individual
SHELLEY MARIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
42287
MN
207L00000X
Anesthesiology Physician
Primary
4301
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128907
—
MN
01
—
15D87WE
BCBS
MN
05
—
15D87WE
—
MN
01
—
20-01845
MEDICA
MN
01
—
21714
SIOUX VALLEY
MN
05
—
522797
—
MN
01
—
7312
AVERA
MN
05
—
74913300
—
MN
01
—
882882
ARAZ
MN
01
—
A045
CHAMPUS
MN
01
—
HP36388
HEALTH PARTNERS
MN
01
—
MH904102684
PPO
MN
Enumeration date
12/01/2005
Last updated
09/24/2024
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