Individual
ROBERT STEPHEN WELLER
Active
Individual
ROBERT STEPHEN WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9701653
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
9701653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068K
BCBS
—
01
—
20893
PARTNERS
—
05
—
220935000
—
WV
01
—
50086563
RR MEDICARE
—
05
—
5712378
—
VA
01
—
5785601
AETNA
—
01
—
74317
MEDCOST
—
05
—
891068K
—
NC
05
—
Q01653
—
SC
Enumeration date
12/13/2005
Last updated
09/11/2017
Update your record
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