Individual
MRS. CORINA G. WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17000 W NORTH AVE STE 104W, BROOKFIELD, WI 53005-4423
(262) 395-4141
(262) 395-4159
Mailing address
12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151-4061
(262) 395-4141
(262) 395-4189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1397-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41929500
—
WI
01
—
P00941521
RR MEDICARE
WI
Enumeration date
12/29/2005
Last updated
10/15/2025
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