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Individual

DR. MARK LANE WELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-5183
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-5183

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
64486
MN
208C00000X
Colon & Rectal Surgery Physician
G058238
CA

Other

Enumeration date
02/17/2007
Last updated
03/17/2020
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