Individual
DR. WELMAN AUSTIN SHRADER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 PASEO DE PERALTA, SANTA FE, NM 87501-2914
(505) 983-8890
Mailing address
141 PASEO DE PERALTA, SANTA FE, NM 87505
(505) 983-8890
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
91-308
NM
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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