Individual
EMILY WELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
221 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503-2533
(616) 267-8950
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86028854
MI
Other
Enumeration date
03/02/2015
Last updated
11/28/2017
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