Individual
MR. MARVIN LAWRENCE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 ROCK RUN RD., FRIENDLY, WV 26146
(313) 563-3332
(313) 563-3342
Mailing address
300 ROCK RUN RD., FRIENDLY, WV 26146
(313) 563-3332
(313) 563-3342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101009765
MI
Other
Enumeration date
08/07/2006
Last updated
12/07/2010
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