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Individual

MARK WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4433 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 771-2220
(607) 251-2635
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01099953A
IN
208200000X
Plastic Surgery Physician
Primary
339168
NY
208200000X
Plastic Surgery Physician
35069832
OH
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
35069832
OH

Other

Enumeration date
10/19/2005
Last updated
04/27/2026
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