Organization
RICHARD W WELLMAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WILLIAM WELLMAN MD (MANAGER)
(309) 287-7922
Entity
Organization
Contact information
Practice address
1505 EASTLAND DR STE 100, BLOOMINGTON, IL 61701-7906
(309) 287-7922
Mailing address
1505 EASTLAND DR STE 100, BLOOMINGTON, IL 61701-7906
(309) 287-7922
(309) 277-2359
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036091292
IL
Other
Enumeration date
07/29/2017
Last updated
07/21/2022
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