Individual
MIKAYLA ROSE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1406
(573) 882-4141
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1434
(573) 882-0808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024018319
MO
Other
Enumeration date
06/15/2021
Last updated
07/01/2024
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