Individual
ADAM D WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 N 103RD PLZ STE 102, OMAHA, NE 68114-1119
(402) 354-0220
(402) 354-0225
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6247
NE
207RP1001X
Pulmonary Disease Physician
Primary
26745
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026209700
—
NE
05
—
10026480109
—
NE
05
—
1376863886
—
IA
Enumeration date
06/07/2010
Last updated
01/28/2019
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