Individual
DR. MICHAEL A. WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 MEDICAL PARK DRIVE, ANDALUSIA, AL 36420
(334) 222-5781
(334) 222-5794
Mailing address
PO BOX 640, 115 MEDICAL PARK DRIVE, ANDALUSIA, AL 36420
(334) 222-5781
(334) 222-5794
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7388
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102048
—
AL
01
—
51018464
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/12/2005
Last updated
10/14/2011
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