Individual
THOMAS J WELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2907 CHANTICLEER AVE., SANTA CRUZ, CA 95065-1815
(831) 477-2325
(831) 477-2330
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(831) 476-0660
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20A7124
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
20A7124
CA
Other
Enumeration date
11/01/2006
Last updated
02/02/2021
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