Individual
DR. ROBERT G WELLS
Active
Individual
DR. ROBERT G WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.098953
IL
2085R0202X
Diagnostic Radiology Physician
Primary
23901
WI
2085R0202X
Diagnostic Radiology Physician
27019
OK
2085R0202X
Diagnostic Radiology Physician
ME 104663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098953
—
IL
01
—
202926
GROUP PTAN
IL
05
—
313-96200
—
WI
Enumeration date
05/10/2006
Last updated
01/23/2019
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