Individual
DR. MARK ANDREW WELNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-6084
(920) 445-7289
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
63777
MN
2085R0202X
Diagnostic Radiology Physician
Primary
66995-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ABR-MOC
AMERICAN BOARD OF RADIOLOGY
—
Enumeration date
04/16/2012
Last updated
08/28/2025
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