Individual
DR. BLAKE JOHN WELSCHMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-5844
(573) 884-8016
Mailing address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019024289
MO
208M00000X
Hospitalist Physician
2019024289
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019024289
—
MO
Enumeration date
06/21/2016
Last updated
07/02/2024
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