Individual
MARK CHRISTOPHER WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
49100 PONTIAC TRL, WIXOM, MI 48393-2569
(248) 669-1108
(248) 669-2552
Mailing address
49100 PONTIAC TRAIL, WIXOM, MI 48393
(248) 669-1108
(248) 669-2552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002986
MI
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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