Individual
RYAN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0046
(248) 456-8150
Mailing address
537 KNOLLWOOD DR, ORTONVILLE, MI 48462-8323
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
3201013512
MI
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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