Individual
MICHAEL SHANE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
114 N WALNUT ST, PHILIPPI, WV 26416-1127
(304) 918-4516
Mailing address
114 N WALNUT ST, PHILIPPI, WV 26416-1127
(304) 918-4516
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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