Individual
MARIA L WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3620
(701) 234-3525
Mailing address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3620
(701) 234-3525
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9252
ND
Other
Enumeration date
07/24/2006
Last updated
04/04/2022
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