Individual
MARCIA A. WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
115 N MAIN ST, ANNA, IL 62906-1661
(618) 833-9355
Mailing address
115 N MAIN ST, ANNA, IL 62906-1661
(618) 833-9355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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