Individual
ANASTASIA H WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 767-6020
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
65421
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235130782
—
WI
05
—
1482811
—
LA
01
—
K400298694
MEDICARE
WI
Enumeration date
08/09/2005
Last updated
03/14/2024
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