Individual
MICHAEL C WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
63 TINDALL RD, MIDDLETOWN, NJ 07748-2723
(732) 706-6061
Mailing address
63 TINDALL RD, MIDDLETOWN, NJ 07748-2723
(732) 706-6061
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00080600
NJ
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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